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1023475225
ANGELA MICHAEL
HORSE CAVE, KY
NPI
1023475225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: KY 201119769)
Enumeration Date
2016-01-20
Last Update Date
2018-05-17
Business Address
ANGELA MICHAEL IECE
308 BROADWAY ST
HORSE CAVE, KY 42749
Phone number: 270-670-5357
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Mailing Address
ANGELA MICHAEL IECE
308 BROADWAY ST
HORSE CAVE, KY 42749-1205
Phone number: 270-670-5357
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