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1194306613
DEBRAS HOUSE, LLC
LOUISVILLE, KY
NPI
1194306613
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Entity Type
Organization
Authorized Contact
JACQUELINE SANDERS
Billing Director
502-630-2036
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
DEBRAS HOUSE, LLC
2923 VIRGINIA AVE
LOUISVILLE, KY 40211-3420
Phone number: 502-775-6507
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Mailing Address
DEBRAS HOUSE, LLC
2923 VIRGINIA AVE
LOUISVILLE, KY 40211-3420
Phone number: 502-775-6507
Copy
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