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1295111706
SALLY ANN FOGG
SHEPHERDSVILLE, KY
NPI
1295111706
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Former Name
SALLY ANN GRENOBLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009396)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- SALLY ANN FOGG APRN
185 ADAM SHEPHERD PKWY
SHEPHERDSVILLE, KY 40165-6578
Phone number: 502-921-5450
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Mailing Address
-- SALLY ANN FOGG APRN
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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