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1043296080
COLLEEN E AMBROSE
BEREA, KY
NPI
1043296080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3000185)
Enumeration Date
2005-12-21
Last Update Date
2018-10-01
Business Address
COLLEEN E AMBROSE NP
104 LEGACY DR
BEREA, KY 40403-9594
Phone number: 859-986-2323
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Mailing Address
COLLEEN E AMBROSE NP
1010 MAIN ST S
MC KEE, KY 40447-7089
Phone number: 606-287-7104
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