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1952789430
MARK ILTIS
LEXINGTON, KY
NPI
1952789430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: KY 05248)
Enumeration Date
2015-05-15
Last Update Date
2023-06-02
Business Address
MARK ILTIS DO
2350 REGENCY RD STE A
LEXINGTON, KY 40503-2351
Phone number: 859-278-4960
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Mailing Address
MARK ILTIS DO
2350 REGENCY RD STE A
LEXINGTON, KY 40503-2351
Phone number: 859-278-4960
Copy
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