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1013595768
MICHELLE TAVCAR
LOUISVILLE, KY
NPI
1013595768
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Former Name
MICHELLE KOMMOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2024-06-28
Business Address
MICHELLE TAVCAR DO
550 S JACKSON ST # A3K00
LOUISVILLE, KY 40202-1622
Phone number: 502-852-4277
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Mailing Address
MICHELLE TAVCAR DO
529 S JACKSON ST
LOUISVILLE, KY 40202-3229
Phone number: 502-562-4673
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