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1003231432
DUSTIN WATTENBERGER
LOUISVILLE, KY
NPI
1003231432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3008537)
Enumeration Date
2014-02-21
Last Update Date
2022-08-17
Business Address
DUSTIN WATTENBERGER
9390 BUNSEN PKWY
LOUISVILLE, KY 40220-3789
Phone number: 833-358-2278
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Mailing Address
DUSTIN WATTENBERGER
PO BOX 636493
CINCINNATI, OH 45263-6493
Phone number: 513-981-5130
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