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1922155407
WESTSIDE PEDIATRICS PSC
LEXINGTON, KY
NPI
1922155407
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Entity Type
Organization
Authorized Contact
REBECCA G BOSOMWORTH
President
859-277-3490
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 18125)
Enumeration Date
2007-01-05
Last Update Date
2014-03-06
Business Address
WESTSIDE PEDIATRICS PSC
1701 ALEXANDRIA DR
LEXINGTON, KY 40504-3149
Phone number: 859-277-3490
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Mailing Address
WESTSIDE PEDIATRICS PSC
1701 ALEXANDRIA DR
LEXINGTON, KY 40504-3149
Phone number: 859-277-3490
Copy
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