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1104684398
DAVID JONATHON WILLOUGHBY
LOUISVILLE, KY
NPI
1104684398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 2049631)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
DAVID JONATHON WILLOUGHBY LPN
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219-1128
Phone number: 502-434-5566
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Mailing Address
DAVID JONATHON WILLOUGHBY LPN
30 CARROLL AVE
EMINENCE, KY 40019-1300
Phone number: 502-706-8643
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