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Organization

MINDFUL MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORA G TALLIO MD (OWNER)
(859) 687-6070
Entity
Organization

Contact information

Practice address
2134 NICHOLASVILLE RD, SUITE 12, LEXINGTON, KY 40503-2521
(859) 687-6070
(859) 687-6071
Mailing address
2134 NICHOLASVILLE RD, SUITE 12, LEXINGTON, KY 40503-2521
(859) 687-6070
(859) 687-6071

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39006
KY

Other

Enumeration date
05/27/2015
Last updated
05/27/2015
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