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1811366404
DAWN BALCOM
LOUISVILLE, KY
NPI
1811366404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 30009692)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- DAWN BALCOM
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202-5703
Phone number: 502-588-4600
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Mailing Address
-- DAWN BALCOM
6610 SHELBURN DR
CRESTWOOD, KY 40014-8945
Phone number: 502-744-7439
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