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1053162768
JENNA RAYE MONTANO
LOUISVILLE, KY
NPI
1053162768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KY 4016956)
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
JENNA RAYE MONTANO APRN
210 E GRAY ST
LOUISVILLE, KY 40202-3900
Phone number: 502-559-3636
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Mailing Address
JENNA RAYE MONTANO APRN
7405 PINE KNOLL CIR
PROSPECT, KY 40059-9259
Phone number: 502-432-7559
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