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1386949188
CARLY COOPER WHITAKER
LEXINGTON, KY
NPI
1386949188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 085916)
Enumeration Date
2011-01-26
Last Update Date
2018-03-27
Business Address
CARLY COOPER WHITAKER CRNA
150 N EAGLE CREEK DR
LEXINGTON, KY 40509-1805
Phone number: 859-268-1030
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Mailing Address
CARLY COOPER WHITAKER CRNA
425 LEWIS HARGETT CIR
LEXINGTON, KY 40503-3590
Phone number: 859-268-1030
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