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1073616017
EDNA JEAN PENCE
ELIZABETHTOWN, KY
NPI
1073616017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: KY 386M)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- EDNA JEAN PENCE CNM
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-769-5963
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Mailing Address
-- EDNA JEAN PENCE CNM
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-769-5963
Copy
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