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1891141529
MISTY G GILLEY
ELIZABETHTOWN, KY
NPI
1891141529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010142)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- MISTY G GILLEY FNP
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2503
Phone number: 877-783-6257
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Mailing Address
-- MISTY G GILLEY FNP
PO BOX 950112 DEPT # 52387
LOUISVILLE, KY 40295-0112
Phone number: 877-783-6257
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