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1194423210
TISHA DICHRISTOPHER
LOUISVILLE, KY
NPI
1194423210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS TMP-161431)
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
TISHA DICHRISTOPHER APRN
9100 SHELBYVILLE RD
LOUISVILLE, KY 40222-5153
Phone number: 502-318-1863
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Mailing Address
TISHA DICHRISTOPHER APRN
2518 N GRAYSTONE CIR
WICHITA, KS 67228-8039
Phone number: 405-921-0903
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