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Individual

DR. VI T JACO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2105
Mailing address
1180 BONDURANT LN, BENTON, KY 42025-5738

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
012619
KY

Other

Enumeration date
07/10/2012
Last updated
07/10/2012
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