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1174351589
FAITH ANN MATTINGLY
LOUISVILLE, KY
NPI
1174351589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: KY 1180654)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
FAITH ANN MATTINGLY RN
3818 GLENSIDE PL
LOUISVILLE, KY 40213-1534
Phone number: 502-714-0403
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Mailing Address
FAITH ANN MATTINGLY RN
3818 GLENSIDE PL
LOUISVILLE, KY 40213-1534
Phone number: 502-714-0403
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