ALLEN BOSQUET FANGMAN

LOUISVILLE, KY
NPI1093456899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
ALLEN BOSQUET FANGMAN
5115 S 3RD ST
LOUISVILLE, KY 40214-2601
Phone number: 502-233-3030
Mailing Address
ALLEN BOSQUET FANGMAN
5115 S 3RD ST
LOUISVILLE, KY 40214-2601
Phone number: 502-233-3030
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