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1356809768
STACEY C GREENWELL-OSBORNE
BARDSTOWN, KY
NPI
1356809768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3013037)
Enumeration Date
2019-03-05
Last Update Date
2020-12-29
Business Address
STACEY C GREENWELL-OSBORNE
4359 NEW SHEPHERDSVILLE RD UNIT 205
BARDSTOWN, KY 40004-8003
Phone number: 502-350-1302
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Mailing Address
STACEY C GREENWELL-OSBORNE
PO BOX 936
LONDON, KY 40743-0936
Phone number:
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