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1093334781
ENZO MIGUEL FORTUNY VIACAVA
LOUISVILLE, KY
NPI
1093334781
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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
2020-04-13
Last Update Date
2020-04-13
Business Address
ENZO MIGUEL FORTUNY VIACAVA MD, MSc
220 ABRAHAM FLEXNER WAY STE 1531
LOUISVILLE, KY 40202-3826
Phone number: 502-407-3263
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Mailing Address
ENZO MIGUEL FORTUNY VIACAVA MD, MSc
220 ABRAHAM FLEXNER WAY STE 1531
LOUISVILLE, KY 40202-3826
Phone number: 502-407-3263
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