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Individual

KIRSTY WASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1000
Mailing address
336 MARBLEGATE CIR, ALVATON, KY 42122-8748

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017182
KY

Other

Enumeration date
08/08/2022
Last updated
08/08/2022
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