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1881258085
MALLORY JADE GUAGENTI
LEXINGTON, KY
NPI
1881258085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 3013325)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
MALLORY JADE GUAGENTI NP
3399 TATES CREEK RD STE 230
LEXINGTON, KY 40502-7404
Phone number: 859-523-5893
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Mailing Address
MALLORY JADE GUAGENTI NP
4016 PARKER MDWS
LEXINGTON, KY 40515-4825
Phone number: 270-589-7827
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