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1164000139
CHRISTINE GAYLE MEDINA
LOUISVILLE, KY
NPI
1164000139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KY 3555)
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
CHRISTINE GAYLE MEDINA SLP
200 BROOKSIDE DR
LOUISVILLE, KY 40243-1277
Phone number: 502-245-3048
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Mailing Address
CHRISTINE GAYLE MEDINA SLP
3506 PINECONE CIR
LOUISVILLE, KY 40241-2725
Phone number: 502-533-2424
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