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1366138190
COURTNEY ACENA GROSS
HARLAN, KY
NPI
1366138190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3019029)
Enumeration Date
2023-04-14
Last Update Date
2024-03-28
Business Address
COURTNEY ACENA GROSS APRN
200 MEDICAL CENTER DR
HARLAN, KY 40831-0014
Phone number: 731-394-1145
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Mailing Address
COURTNEY ACENA GROSS APRN
PO BOX 284
HYDEN, KY 41749-0284
Phone number:
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