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1144480203
MATTHEW COSTNER
LOUISVILLE, KY
NPI
1144480203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-06-12
Last Update Date
2009-11-04
Business Address
-- MATTHEW COSTNER
2105 CRUMS LN
LOUISVILLE, KY 40216-4231
Phone number: 502-589-8600
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Mailing Address
-- MATTHEW COSTNER
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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