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1821388802
JANA RENEE BACK
WEST LIBERTY, KY
NPI
1821388802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 014984)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
Dr. JANA RENEE BACK PharmD
275 PRESTONSBURG ST
WEST LIBERTY, KY 41472-1135
Phone number: 606-743-3425
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Mailing Address
Dr. JANA RENEE BACK PharmD
275 PRESTONSBURG ST
WEST LIBERTY, KY 41472-1135
Phone number: 606-743-3425
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