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1255767208
SHANAI PETRAKOS HENDRICK
LOUISVILLE, KY
NPI
1255767208
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Former Name
SHANAI MARIE PETRAKOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3008164)
Enumeration Date
2013-09-23
Last Update Date
2019-01-26
Business Address
SHANAI PETRAKOS HENDRICK APRN
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Phone number: 502-584-3377
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Mailing Address
SHANAI PETRAKOS HENDRICK APRN
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-584-3377
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