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Organization

JULIE G. GANDEE DO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIE G GANDEE DO (OWNER)
(859) 624-0404
Entity
Organization

Contact information

Practice address
1054 CENTER DR, SUITE 5, RICHMOND, KY 40475-3851
(859) 624-0404
(859) 624-0409
Mailing address
1054 CENTER DR, SUITE 5, RICHMOND, KY 40475-3851
(859) 624-0404
(859) 624-0409

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03099
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100060680
KY
Enumeration date
07/11/2008
Last updated
04/16/2009
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