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Individual

MR. PAUL ERIC HASKELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2030 NORTHSIDE DR, HEBRON CHIROPRACTIC - #UNIT C, HEBRON, KY 41048
(859) 372-0888
Mailing address
8200 ROSE PETAL DR, FLORENCE, KY 41042

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-4531
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KY-4531
LMT
KY
Enumeration date
07/28/2015
Last updated
07/28/2015
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