ANTHONY ELVIS BREWSTER

LOUISVILLE, KY
NPI1043891013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  110000)
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
ANTHONY ELVIS BREWSTER LDO
4036 DUTCHMANS LN
LOUISVILLE, KY 40207-4704
Phone number: 502-895-2020
Mailing Address
ANTHONY ELVIS BREWSTER LDO
4036 DUTCHMANS LN
LOUISVILLE, KY 40207-4704
Phone number: 502-895-2020
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