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1376734442
SHONNA BACK
NEWPORT, KY
NPI
1376734442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3006274)
Enumeration Date
2007-08-05
Last Update Date
2022-07-08
Business Address
SHONNA BACK Nurse Practitioner
130 PAVILION PKWY
NEWPORT, KY 41071-2998
Phone number: 859-652-7203
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Mailing Address
SHONNA BACK Nurse Practitioner
1239 WOODLAND DR STE 108
ELIZABETHTOWN, KY 42701-2770
Phone number: 270-765-4535
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