LYDIA GRACE MOSS

LA GRANGE, KY
NPI1922253822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  TC069)
Enumeration Date2008-11-20
Last Update Date2008-11-20
Business Address
LYDIA GRACE MOSS PA
1006 NEW MOODY LN
LA GRANGE, KY 40031-9122
Phone number: 502-222-0028
Mailing Address
LYDIA GRACE MOSS PA
1006 NEW MOODY LN
LA GRANGE, KY 40031-9122
Phone number: 502-222-0028
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