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Organization
CLEMENTE V. ZULUETA, JR., MD, PLLC
Active
Organization
CLEMENTE V. ZULUETA, JR., MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENTE V. ZULUETA JR. MD (OWNER)
(606) 693-1078
Entity
Organization
Contact information
Practice address
95 JACKSON HTS, STE 201, JACKSON, KY 41339-6500
(606) 693-1078
(606) 693-1079
Mailing address
PO BOX 908, JACKSON, KY 41339-0908
(606) 693-1078
(606) 693-1079
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-000847
—
KY
Enumeration date
08/09/2006
Last updated
07/02/2012
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