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1053605394
TODD DOUGLAS DEETSCH
LOUISVILLE, KY
NPI
1053605394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
Mr. TODD DOUGLAS DEETSCH
208 LINNEY AVE
LOUISVILLE, KY 40243-1014
Phone number: 502-693-1037
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Mailing Address
Mr. TODD DOUGLAS DEETSCH
208 LINNEY AVE
LOUISVILLE, KY 40243-1014
Phone number: 502-693-1037
Copy
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