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1235902305
STEPHANIE WATSON
LEBANON, KY
NPI
1235902305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: KY 4009896)
Enumeration Date
2023-11-01
Last Update Date
2023-11-02
Business Address
STEPHANIE WATSON
311 W HIGH STREET
LEBANON, KY 40033-1427
Phone number: 270-692-5811
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Mailing Address
STEPHANIE WATSON
PO BOX 1080
BURKESVILLE, KY 42717-1080
Phone number: 270-864-1472
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LEBANON PEDIATRICS LLC