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Individual

MRS. DAWN RENEE STOTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
616 S WALLACE WILKINSON BLVD, LIBERTY, KY 42539-3344
(606) 787-6889
Mailing address
623 SANO RD, COLUMBIA, KY 42728-7390
(270) 384-0029

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A00712
KY

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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