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1487061180
REBECCA HACKETT
EDGEWOOD, KY
NPI
1487061180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 3008994)
Enumeration Date
2014-07-15
Last Update Date
2014-10-15
Business Address
-- REBECCA HACKETT
20 MEDICAL VILLAGE DR STE 258
EDGEWOOD, KY 41017-5411
Phone number: 859-301-2211
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Mailing Address
-- REBECCA HACKETT
3609 RANBIR DR
DURHAM, NC 27713-1792
Phone number:
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