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1124024385
JOHN MATTHEW JANES
LOUISVILLE, KY
NPI
1124024385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: KY PT-003331)
Enumeration Date
2005-06-22
Last Update Date
2007-07-08
Business Address
-- JOHN MATTHEW JANES PT, MHS, OCS
710 EXECUTIVE PARK
LOUISVILLE, KY 40207-4207
Phone number: 502-895-4213
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Mailing Address
-- JOHN MATTHEW JANES PT, MHS, OCS
47 OSAGE TRL
LOUISVILLE, KY 40245-7019
Phone number: 502-213-0011
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