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1053793406
MICHELLE BAXTER
CRESTWOOD, KY
NPI
1053793406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: KY 3009472)
Enumeration Date
2015-06-22
Last Update Date
2015-06-22
Business Address
-- MICHELLE BAXTER APRN
3811 BARBARA ANN BLVD
CRESTWOOD, KY 40014-9237
Phone number: 502-599-4158
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Mailing Address
-- MICHELLE BAXTER APRN
3811 BARBARA ANN BLVD
CRESTWOOD, KY 40014-9237
Phone number: 502-599-4158
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