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1154666592
PENNY L DEVORE
LOUISVILLE, KY
NPI
1154666592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 1089332)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
-- PENNY L DEVORE CRNA
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-636-7111
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Mailing Address
-- PENNY L DEVORE CRNA
425 LEWIS HARGETT CIR
LEXINGTON, KY 40503-3590
Phone number: 859-268-1030
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