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1013764679
JONATHAN LUKE WELLINGHURST
LOUISVILLE, KY
NPI
1013764679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KY RBT-24-342088)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
JONATHAN LUKE WELLINGHURST
1230 LIBERTY BANK LN STE 330
LOUISVILLE, KY 40222-5756
Phone number: 150-279-2926
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Mailing Address
JONATHAN LUKE WELLINGHURST
1230 LIBERTY BANK LN STE 230
LOUISVILLE, KY 40222-5756
Phone number: 502-792-9269
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