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1548868268
CHERI MICHELLE FREDERICK
ELIZABETHTOWN, KY
NPI
1548868268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3015343)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
CHERI MICHELLE FREDERICK
2000 RING RD
ELIZABETHTOWN, KY 42701-9454
Phone number: 270-506-2730
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Mailing Address
CHERI MICHELLE FREDERICK
115 SETTLERS WAY
STANFORD, KY 40484-8522
Phone number: 859-298-8191
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