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Individual

DEVONNA S DORSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3934 DIXIE HWY, LOUISVILLE, KY 40216-4163
(502) 384-0886
Mailing address
3934 DIXIE HWY, LOUISVILLE, KY 40216-4163
(502) 384-0886

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2047460
KY

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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