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1225856297
AGATHA RENEE BRYANT
LOUISVILLE, KY
NPI
1225856297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
(Licence: KY 2016840)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
AGATHA RENEE BRYANT
9300 BEULAH CHURCH RD
LOUISVILLE, KY 40291-2708
Phone number: 502-762-9608
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Mailing Address
AGATHA RENEE BRYANT
9300 BEULAH CHURCH RD
LOUISVILLE, KY 40291-2708
Phone number: 502-762-9608
Copy
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