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Individual

CAROL C DEWITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 LONE OAK DR, NICHOLASVILLE, KY 40356-9417
(859) 338-1969
Mailing address
110 LONE OAK DR, NICHOLASVILLE, KY 40356-9417
(859) 338-1969

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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