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1881085983
JAMES RICHARD VAN HISE
EDGEWOOD, KY
NPI
1881085983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009222)
Enumeration Date
2015-02-10
Last Update Date
2015-02-16
Business Address
Mr. JAMES RICHARD VAN HISE ARPN
483 S LOOP RD
EDGEWOOD, KY 41017-5446
Phone number: 859-301-4600
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Mailing Address
Mr. JAMES RICHARD VAN HISE ARPN
483 S LOOP RD
EDGEWOOD, KY 41017-5446
Phone number: 859-301-4600
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