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1235982455
SULLIVAN SCOTT SMITH
LOUISVILLE, KY
NPI
1235982455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-08
Last Update Date
2024-05-01
Business Address
SULLIVAN SCOTT SMITH DO
530 S JACKSON ST RM C1H17
LOUISVILLE, KY 40202-1675
Phone number: 502-852-5689
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Mailing Address
SULLIVAN SCOTT SMITH DO
530 S JACKSON ST RM C1H17
LOUISVILLE, KY 40202-1675
Phone number:
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