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Individual
ALLISON DREW DEZARN
Active
Individual
ALLISON DREW DEZARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
3010409
KY
363L00000X
Nurse Practitioner
Primary
3010409
KY
Other
Enumeration date
07/08/2016
Last updated
06/16/2026
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