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NPI Provider: 1982609640
Contact Name: Sprei Stanley
Position: President/Provider
Phone: (270) 442-9519
Affiliates In Pathology Sc Information:
Affiliates In Pathology Sc organization have npi 1982609640, taxonomy code is 207ZP0102X with license number is 122018 in . This Business address located in 100 Fountain Ave, Paducah, KY 42001 Kentucky. Get directions of Affiliates In Pathology Sc.
Practice Location
Address: 1530 Lone Oak Rd, Paducah, KY 42003
Phone: (270) 442-9519
Business Location
Address: 100 Fountain Ave, Paducah, KY 42001
Phone: (270) 442-9519
Fax: (314) 631-4491
Taxonomy
Taxonomy Code: 207ZP0102X
License Number: 122018
License Number of State: KY
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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