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Individual

DALE LADONN EGBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4793 VILLAGE SQUARE DR # 140, PADUCAH, KY 42001-7435
(270) 444-0448
(270) 444-0449
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(401) 353-4174
(401) 488-5774

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
242181
KY

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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