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Individual

JESSICA BRABOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
521 LONE OAK RD, PADUCAH, KY 42003-4543
(270) 442-6659
(270) 442-8982
Mailing address
3565 JENN ANN AVE, PADUCAH, KY 42001-9627

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015581
KY

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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