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1164188090
KEANU IRENE HACKLEY
LOUISVILLE, KY
NPI
1164188090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
KEANU IRENE HACKLEY
204 E MARKET ST # A
LOUISVILLE, KY 40202-1218
Phone number: 502-588-4340
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Mailing Address
KEANU IRENE HACKLEY
4717 CLIFF AVE
LOUISVILLE, KY 40215-2420
Phone number: 502-554-0380
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