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1184446643
RECOVERYALISTIC CORPORATION
LOUISVILLE, KY
NPI
1184446643
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Entity Type
Organization
Authorized Contact
TONJALIA L TYUS
Owner
502-608-4471
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
RECOVERYALISTIC CORPORATION
813 S 40TH ST
LOUISVILLE, KY 40211-2837
Phone number: 502-608-4471
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Mailing Address
RECOVERYALISTIC CORPORATION
813 S 40TH ST
LOUISVILLE, KY 40211-2837
Phone number: 502-608-4471
Copy
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