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1740933324
JENNIFER OBANNON
LOUISA, KY
NPI
1740933324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3017386)
Enumeration Date
2022-02-02
Last Update Date
2023-11-01
Business Address
JENNIFER OBANNON APRN
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
JENNIFER OBANNON APRN
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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