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1003589250
DIANE ETONDE IKOME
LOUISVILLE, KY
NPI
1003589250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 022162)
Enumeration Date
2021-07-25
Last Update Date
2023-04-30
Business Address
Dr. DIANE ETONDE IKOME PharmD, RPh
10445 DIXIE HWY
LOUISVILLE, KY 40272-3953
Phone number: 502-935-3265
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Mailing Address
Dr. DIANE ETONDE IKOME PharmD, RPh
418 BERMUDA LN
LOUISVILLE, KY 40213-3332
Phone number: 270-519-4985
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