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Individual

RAQUEL LEILANI NAZARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 381-5994
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 381-5994

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
KY0001524
KY

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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