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Individual

PHYLLIS RENEE JEFFERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 HIGHWAY 2227, SOMERSET, KY 42503-1562
(606) 485-9323
Mailing address
106 JACKSBORO ST, SOMERSET, KY 42501-2210
(606) 872-9673

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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