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Patricia Corzine

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NPI Number Detailed Information

Provider Information:

Name: Patricia Corzine
Gender: F
Provider License Number If Given: 71001325

NPI Information:

NPI: 1669466165
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 5/16/2016

Provider Business Mailing Address:

Address: 1263 HOSPITAL DR NW SUITE 110
Corydon, IN 47112
Phone Number: 8127340912
Fax Number: 8127388715

Provider Business Practice Location Address:

Address: 315 E BROADWAY
Louisville, KY 40202
Phone Number: 5026292500
Fax Number: 5026292055

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any):
State: KY

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