ABIGAIL HAGAN SOUTHALL

LEBANON, KY
NPI1861006066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3015055)
Enumeration Date2020-09-04
Last Update Date2020-09-04
Business Address
ABIGAIL HAGAN SOUTHALL Nurse Practitioner
312 W HIGH ST
LEBANON, KY 40033-1428
Phone number: 270-692-9559
Mailing Address
ABIGAIL HAGAN SOUTHALL Nurse Practitioner
312 W HIGH ST
LEBANON, KY 40033-1428
Phone number: 270-692-9559
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