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1194574590
TRACY DAWN WEATHERLY
LOUISVILLE, KY
NPI
1194574590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4018756)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
TRACY DAWN WEATHERLY APRN-C
2440 BARDSTOWN RD
LOUISVILLE, KY 40205-2123
Phone number: 502-632-0984
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Mailing Address
TRACY DAWN WEATHERLY APRN-C
PO BOX 932958
CLEVELAND, OH 44192-0028
Phone number: 502-632-0984
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