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Individual

DESTINY NICOLE OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
80 HIGHWAY 2227, SOMERSET, KY 42503-1562
(606) 485-9323
Mailing address
16471 WEST HIGHWAY 80, NANCY, KY 42544
(606) 802-0670

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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