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1740848324
JACKIE STETHEM
LEXINGTON, KY
NPI
1740848324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3013689)
Enumeration Date
2019-05-30
Last Update Date
2019-10-09
Business Address
JACKIE STETHEM
3050 RIO DOSA DR
LEXINGTON, KY 40509-1540
Phone number: 859-269-2325
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Mailing Address
JACKIE STETHEM
3050 RIO DOSA DR
LEXINGTON, KY 40509-1540
Phone number: 859-269-2325
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