Registry details
Type
Individual
Primary specialty
Dermatology, Dermatopathology
Enumerated
Apr 1, 2011
License(s)
49073 (KY), 35.133794 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 7766 EWING BLVD SUITE 100 | Florence, KY 41042-7538 | 859-283-1033 |
| MAILING | 7766 EWING BLVD SUITE 100 | Florence, KY 41042-7538 | 859-283-1033 |
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