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1922284660
ANGELA TENNANT
EDGEWOOD, KY
NPI
1922284660
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Former Name
ANGELA HAVENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3003096)
Enumeration Date
2008-01-11
Last Update Date
2019-08-22
Business Address
ANGELA TENNANT APRN
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Phone number: 859-301-2000
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Mailing Address
ANGELA TENNANT APRN
PO BOX 635283
CINCINNATI, OH 45263-5283
Phone number: 859-301-2000
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