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Managed Care Organizations at Holiday Ct, Glendale, KY

License number
Kentucky EDSP 71846
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MRS. TRACEY LYNNE FOWL MASTERS SPECIAL ED
Title: DEVELOPMENTAL INTERVENTIONIST
Phone: (270) 300-2044
Address
Address
104 Holiday Ct, Glendale, KY 42701
National Provider ID: 1639526940
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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