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1205089919
VICKI YVONNE BASHAM
MONTICELLO, KY
NPI
1205089919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R4058)
Enumeration Date
2008-10-24
Last Update Date
2012-06-02
Business Address
-- VICKI YVONNE BASHAM OTR/L
514 LAKEPOINT VIEW RD
MONTICELLO, KY 42633-4466
Phone number: 606-307-8349
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Mailing Address
-- VICKI YVONNE BASHAM OTR/L
514 LAKEPOINT VIEW RD
MONTICELLO, KY 42633-4466
Phone number: 606-307-8349
Copy
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