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Individual

MRS. ANGLIA DAWN MEMORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8929 WASHINGTON TRACE RD, CALIFORNIA, KY 41007-9089
(859) 609-0796
Mailing address
8929 WASHINGTON TRACE RD, CALIFORNIA, KY 41007-9089
(859) 609-0796

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN255770
OH

Other

Enumeration date
10/02/2012
Last updated
10/02/2012
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