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1346834843
LORA HAYNES
BRANDENBURG, KY
NPI
1346834843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3015992)
Enumeration Date
2021-02-24
Last Update Date
2021-06-18
Business Address
LORA HAYNES APRN
814 OLD EKRON RD
BRANDENBURG, KY 40108-1149
Phone number: 731-394-1145
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Mailing Address
LORA HAYNES APRN
3229 OLD STATE RD
BRANDENBURG, KY 40108-9460
Phone number: 270-668-5431
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