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1437678810
MIRANDA JO JEWELL
GLASGOW, KY
NPI
1437678810
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Former Name
MIRANDA JO STAPLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: KY 3011720)
Enumeration Date
2017-09-17
Last Update Date
2022-07-21
Business Address
MRS. MIRANDA JO JEWELL APRN
301 PROFESSIONAL PARK DR
GLASGOW, KY 42141-3487
Phone number: 270-651-9696
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Mailing Address
MRS. MIRANDA JO JEWELL APRN
PO BOX 1080
BURKESVILLE, KY 42717-1080
Phone number: 270-858-6644
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