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1013417435
GLENDA RENEE PHILLIPS
LOUISVILLE, KY
NPI
1013417435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009615)
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
GLENDA RENEE PHILLIPS APRN
101 E MAIN ST
LOUISVILLE, KY 40202-1349
Phone number: 502-262-8956
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Mailing Address
GLENDA RENEE PHILLIPS APRN
PO BOX 355
LOUISVILLE, KY 40201-0355
Phone number: 502-262-8956
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