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1104811603
SHAUN NELSON
LOUISVILLE, KY
NPI
1104811603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA842)
Enumeration Date
2005-09-12
Last Update Date
2022-04-14
Business Address
SHAUN NELSON PA
120 EXECUTIVE PARK
LOUISVILLE, KY 40207-4201
Phone number: 502-855-7200
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Mailing Address
SHAUN NELSON PA
223 EXECUTIVE PARK
LOUISVILLE, KY 40207-4202
Phone number: 502-907-0356
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