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1598804973
CAROL ENNIS MARTIN
LEXINGTON, KY
NPI
1598804973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: KY 3002688)
Enumeration Date
2007-02-05
Last Update Date
2018-09-08
Business Address
CAROL ENNIS MARTIN APRN
THE KENTUCKY CLINIC WING D J252 740 S. LIMESTONE
LEXINGTON, KY 40536
Phone number: 859-323-2089
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Mailing Address
CAROL ENNIS MARTIN APRN
740 S. LIMESTONE THE KENTUCKY CLINIC WING D - J252
LEXINGTON, KY 40536-0284
Phone number: 859-218-0362
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