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1750838595
CANDY LANE
LEXINGTON, KY
NPI
1750838595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1147654)
Enumeration Date
2016-09-09
Last Update Date
2017-03-07
Business Address
-- CANDY LANE
11 MENTELLE PARK
LEXINGTON, KY 40502-1511
Phone number: 859-396-5358
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Mailing Address
-- CANDY LANE
11 MENTELLE PARK
LEXINGTON, KY 40502-1511
Phone number: 859-396-5358
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