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1881733111
ROSETTA LAKES
MANCHESTER, KY
NPI
1881733111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 1037165)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- ROSETTA LAKES
100 S COURT ST
MANCHESTER, KY 40962-1295
Phone number: 606-598-2425
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Mailing Address
-- ROSETTA LAKES
PO BOX 158 MANCHESTER SQUARE SHOPPING CTR. ROOM 212
MANCHESTER, KY 40962-0158
Phone number:
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