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1104334184
SHASTA CECIL
LEXINGTON, KY
NPI
1104334184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3011954)
Enumeration Date
2018-01-12
Last Update Date
2020-12-07
Business Address
SHASTA CECIL
1720 NICHOLASVILLE RD
LEXINGTON, KY 40503-1404
Phone number: 859-277-5887
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Mailing Address
SHASTA CECIL
799 E BRANNON RD
NICHOLASVILLE, KY 40356-6038
Phone number: 859-971-4658
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