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1700396959
TANYA F REVOR
ELIZABETHTOWN, KY
NPI
1700396959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY F09170158)
Enumeration Date
2017-10-02
Last Update Date
2019-09-11
Business Address
TANYA F REVOR APRN-FNP
1321 RING RD STE 107
ELIZABETHTOWN, KY 42701-8940
Phone number: 270-986-7392
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Mailing Address
TANYA F REVOR APRN-FNP
1321 RING RD STE 107
ELIZABETHTOWN, KY 42701-8940
Phone number: 270-986-7392
Copy
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