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1356113427
SUSAN LAVERNE VINCENT
ELIZABETHTOWN, KY
NPI
1356113427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 4009310)
Enumeration Date
2023-10-23
Last Update Date
2023-12-19
Business Address
SUSAN LAVERNE VINCENT PMHNP
2000 RING RD
ELIZABETHTOWN, KY 42701-9454
Phone number: 270-506-2730
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Mailing Address
SUSAN LAVERNE VINCENT PMHNP
1206 PEBBLE CREEK DR
JEFFERSONVILLE, IN 47130-8544
Phone number: 812-225-2202
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