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Individual

MARCILENE CAROL BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219-1128
(502) 434-5566
(502) 434-5567
Mailing address
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219-1128
(502) 434-5566
(502) 434-5567

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2055027
KY

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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