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1184689861
BRIAN A DEPREST
LOUISVILLE, KY
NPI
1184689861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 32078)
Enumeration Date
2006-04-18
Last Update Date
2023-04-26
Business Address
BRIAN A DEPREST M.D.
4420 DIXIE HWY STE. 114
LOUISVILLE, KY 40216-2986
Phone number: 502-449-6464
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Mailing Address
BRIAN A DEPREST M.D.
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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