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Individual

JESSICA LEA AMBURGEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(877) 693-5700
(954) 625-6034
Mailing address
PO BOX 19387, PLANTATION, FL 33318-0387
(877) 693-5700
(954) 625-6034

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
KY

Other

Enumeration date
09/01/2011
Last updated
09/01/2011
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