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Individual

MRS. VICKIE LYNN DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
3516 TEMPLEWOOD DR., LOUISVILLE, KY 40219
(502) 969-6802
Mailing address
3516 TEMPLEWOOD DR., LOUISVILLE, KY 40219
(502) 969-6802

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
50167631
KY
376K00000X
Nurse's Aide
Primary
50167631
KY

Other

Enumeration date
02/23/2012
Last updated
02/23/2012
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