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1205399482
ALICIA JEANNE WALDRAB
LOUISVILLE, KY
NPI
1205399482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3017979)
Enumeration Date
2019-04-13
Last Update Date
2023-06-12
Business Address
ALICIA JEANNE WALDRAB APRN
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
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Mailing Address
ALICIA JEANNE WALDRAB APRN
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-953-4700
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