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1013730548
QUENTIN VIRGIL WISE
LOUISVILLE, KY
NPI
1013730548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
QUENTIN VIRGIL WISE
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 323-640-1105
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Mailing Address
QUENTIN VIRGIL WISE
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 323-640-1105
Copy
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