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Individual

MABLE WETMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1071661
KY

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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