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1912454067
OLIVIA ROSE HOUCK
LA GRANGE, KY
NPI
1912454067
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Former Name
OLIVIA ROSE LEAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC503)
Enumeration Date
2016-09-07
Last Update Date
2018-08-02
Business Address
Mrs. OLIVIA ROSE HOUCK PA-C
1006 NEW MOODY LN
LA GRANGE, KY 40031-9122
Phone number: 502-222-0008
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Mailing Address
Mrs. OLIVIA ROSE HOUCK PA-C
1006 NEW MOODY LN
LA GRANGE, KY 40031-9122
Phone number: 502-222-0008
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