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Individual

MRS. JACKIE NORTON HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
129 PARK AVE, SOMERSET, KY 42501-1785
(606) 677-1166
(606) 451-3386
Mailing address
129 PARK AVE, SOMERSET, KY 42501-1785
(606) 677-1166
(606) 451-3386

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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