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Individual

MARIE B VICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
217 ELM TREE LN, LEXINGTON, KY 40507-2117
(859) 218-6165
Mailing address
5561 ENERGY RD, EWING, KY 41039-8330
(606) 748-8231

Taxonomy

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

Other

Enumeration date
04/16/2019
Last updated
05/22/2023
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