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1720758295
TRACI NICOLE BAXTER
CARLISLE, KY
NPI
1720758295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 272271)
Enumeration Date
2021-09-16
Last Update Date
2021-09-16
Business Address
TRACI NICOLE BAXTER COTA/L
2323 CONCRETE RD
CARLISLE, KY 40311-9721
Phone number: 859-289-3492
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Mailing Address
TRACI NICOLE BAXTER COTA/L
4993 KY HIGHWAY 596 # A
GERMANTOWN, KY 41044-9026
Phone number: 606-301-1064
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