Individual
DEBORAH DONNA DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
544 LONE OAK RD, PADUCAH, KY 42003
(270) 443-1543
Mailing address
4110 SCHNEIDMAN RD, PADUCAH, KY 42003
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
KY-A1740
KY
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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