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1023713112
MATTHEW RYAN COLLINS
LOUISVILLE, KY
NPI
1023713112
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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
2023-03-30
Last Update Date
2023-03-30
Business Address
MATTHEW RYAN COLLINS
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-681-1682
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Mailing Address
MATTHEW RYAN COLLINS
642 S 2ND ST APT 203
LOUISVILLE, KY 40202-2435
Phone number: 606-682-2230
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