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1255604336
WENDY AUTUMN LEWIS
LOUISVILLE, KY
NPI
1255604336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY SA233)
Enumeration Date
2012-02-20
Last Update Date
2020-01-15
Business Address
WENDY AUTUMN LEWIS KCSA
4001 KRESGE WAY STE 200
LOUISVILLE, KY 40207-4640
Phone number: 502-895-1995
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Mailing Address
WENDY AUTUMN LEWIS KCSA
12503 NORTHOLT CT
LOUISVILLE, KY 40245-8472
Phone number: 502-445-2533
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