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1063433118
MARY L WENKE
LOUISVILLE, KY
NPI
1063433118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 1631A)
Enumeration Date
2006-07-22
Last Update Date
2007-10-11
Business Address
-- MARY L WENKE CRNA
4004 DUPONT CIR
LOUISVILLE, KY 40207-4819
Phone number: 502-896-6428
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Mailing Address
-- MARY L WENKE CRNA
PO BOX 91345
LOUISVILLE, KY 40291-0345
Phone number: 502-896-6428
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