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1245402262
JACQUELINE EILEEN DAVIS
LOUISVILLE, KY
NPI
1245402262
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Former Name
JACQUELINE EILEEN FOUNTAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2008-03-31
Last Update Date
2019-03-21
Business Address
Mrs. JACQUELINE EILEEN DAVIS PA-C
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Phone number: 502-636-4900
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Mailing Address
Mrs. JACQUELINE EILEEN DAVIS PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-272-5063
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