NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1508341819
 
 
 
PADUCAH OPERATING COMPANY LLC
867 MCGUIRE AVE
PADUCAH
KY
420014036
1134445661
COLSON
MYCHAEL
BETH
 
867 MCGUIRE AVE
PADUCAH
KY
420014036
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