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Individual

MR. JAMES ALLAN MADALENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
UNIVERSITY OF KENTUCKY EJ NUTTER TRAINING FACILITY, 136 SPORTS CENTER DRIVE, LEXINGTON, KY 40506-0001
(859) 257-6521
(859) 257-8953
Mailing address
UNIVERSITY OF KENTUCKY EJ NUTTER TRAINING FACILITY, 136 SPORTS CENTER DRIVE, LEXINGTON, KY 40506-0001
(859) 257-6521
(859) 257-8953

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT322
KY

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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