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1871099044
DEIDRA IRVIN
ELIZABETHTOWN, KY
NPI
1871099044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3012243)
Enumeration Date
2018-04-05
Last Update Date
2024-03-22
Business Address
DEIDRA IRVIN FNP-C
2412 RING RD STE 100
ELIZABETHTOWN, KY 42701-5912
Phone number: 270-769-2273
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Mailing Address
DEIDRA IRVIN FNP-C
2412 RING RD STE 100
ELIZABETHTOWN, KY 42701-5912
Phone number: 270-769-2273
Copy
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