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1215703988
ROBERTO CARLOS MENA
LOUISVILLE, KY
NPI
1215703988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: WI 23-707)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
ROBERTO CARLOS MENA
11610 SUMMIT CREST DR APT 301
LOUISVILLE, KY 40229-8342
Phone number: 786-354-0208
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Mailing Address
ROBERTO CARLOS MENA
11610 SUMMIT CREST DR APT 301
LOUISVILLE, KY 40229-8342
Phone number: 786-354-0208
Copy
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