MISTY ELAINE TACKETT

HAZARD, KY
NPI1922322080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2010-03-18
Last Update Date2010-03-18
Business Address
-- MISTY ELAINE TACKETT
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Mailing Address
-- MISTY ELAINE TACKETT
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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