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1215367669
MADELEINE SOFO WARDELL
CRESTWOOD, KY
NPI
1215367669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3009056)
Enumeration Date
2013-11-22
Last Update Date
2024-04-11
Business Address
MADELEINE SOFO WARDELL APRN
6411 VETERANS MEMORIAL PKWY STE 200
CRESTWOOD, KY 40014-8698
Phone number: 502-394-6555
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Mailing Address
MADELEINE SOFO WARDELL APRN
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490
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