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Individual

MRS. ELYSE A HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CST

Contact information

Practice address
1532 LONE OAK RD, SUITE 445, PADUCAH, KY 42003-7913
(270) 538-5837
Mailing address
8301 OLD MAYFIELD RD, PADUCAH, KY 42003-1053
(270) 554-8449

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
06/22/2011
Last updated
06/22/2011
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