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Individual

ELIZABETH SUE WALDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 PAWNEE TRL, LONDON, KY 40741-4032
(606) 231-8974
Mailing address
220 PAWNEE TRL, LONDON, KY 40741-4032
(606) 231-8974

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY

Other

Enumeration date
10/19/2009
Last updated
10/19/2009
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