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1104454768
HALEY C RICHARDSON
LOUISVILLE, KY
NPI
1104454768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC165)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-03-30
Last Update Date
2022-02-10
Business Address
HALEY C RICHARDSON
3 AUDUBON PLAZA DR STE 230
LOUISVILLE, KY 40217-1319
Phone number: 502-637-3311
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Mailing Address
HALEY C RICHARDSON
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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