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1255781050
BRANDY MICHELLE TRADER
LOUISVILLE, KY
NPI
1255781050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010353)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- BRANDY MICHELLE TRADER APRN
3903 VANTAGE PL
LOUISVILLE, KY 40299-6801
Phone number: 502-394-9459
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Mailing Address
-- BRANDY MICHELLE TRADER APRN
3903 VANTAGE PL
LOUISVILLE, KY 40299-6801
Phone number: 502-394-9459
Copy
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