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Organization

SAINT IGNATIUS FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK READNOUR MD (PRESIDENT)
(859) 912-1046
Entity
Organization

Contact information

Practice address
17 CAMBRIDGE DR, FORT MITCHELL, KY 41017-2804
(513) 253-0331
Mailing address
17 CAMBRIDGE DRIVE, FORT. MITCHELL, KY 41017
(859) 912-1046

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OH

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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