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Individual

JASON TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 ROSE ST # HA628, LEXINGTON, KY 40536-3305
(859) 218-2597
Mailing address
818 IDLEWILD CT, LEXINGTON, KY 40505-3632
(650) 739-6086

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary

Other

Enumeration date
05/20/2022
Last updated
11/28/2022
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