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Individual

MS. FLESHIA LYNN POTEET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFA

Contact information

Practice address
1300 ANDREA ST STE 105, BOWLING GREEN, KY 42104-3382
(270) 781-0177
(270) 782-6023
Mailing address
1300 ANDREA ST STE 105, BOWLING GREEN, KY 42104-3382
(270) 781-0177
(270) 782-6023

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA153
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000489406
ANTHEM PROVIDER NUMBER
KY
Enumeration date
05/31/2007
Last updated
07/08/2007
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