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1184143927
BRIDGETT LOREN MIRACLE
SOMERSET, KY
NPI
1184143927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 174748)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
BRIDGETT LOREN MIRACLE
303 SECOND ST
SOMERSET, KY 42501-2390
Phone number: 606-677-1166
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Mailing Address
BRIDGETT LOREN MIRACLE
58 MILL CREEK DR
CORBIN, KY 40701-4182
Phone number: 606-677-1166
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