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1205848009
NANCY DIANE DEROSA
FORT KNOX, KY
NPI
1205848009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: KY 4590P)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Mrs. NANCY DIANE DEROSA ARNP
289 IRELAND AVE
FORT KNOX, KY 40121-5111
Phone number: 502-624-9007
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Mailing Address
Mrs. NANCY DIANE DEROSA ARNP
4540 WOOLDRIDGE FERRY RD
ELIZABETHTOWN, KY 42701-6136
Phone number: 270-737-4832
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