Individual
MARINENA BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2755 W PARK DR, PADUCAH, KY 42001-9058
(270) 443-0909
Mailing address
707 COVENTRY TRL, PADUCAH, KY 42003-1218
(270) 898-4278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007952
KY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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