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1659588135
REBECCA LOGAN JOHNSON
LEXINGTON, KY
NPI
1659588135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: KY R0212)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- REBECCA LOGAN JOHNSON
2050 VERSAILLES RD
LEXINGTON, KY 40504-1405
Phone number: 859-367-7127
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Mailing Address
-- REBECCA LOGAN JOHNSON
2200 FORDS MILL RD
VERSAILLES, KY 40383-8929
Phone number: 859-873-0836
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