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1164927869
JERSEY RAE METTILLE
LOUISVILLE, KY
NPI
1164927869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: KY 05256)
Enumeration Date
2018-03-26
Last Update Date
2022-07-18
Business Address
Dr. JERSEY RAE METTILLE DO
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-5851
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Mailing Address
Dr. JERSEY RAE METTILLE DO
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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