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1265046247
WILLIAM JERNIGAN
LOUISVILLE, KY
NPI
1265046247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 260894)
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
MR. WILLIAM JERNIGAN LMT
1860 MELLWOOD AVE STE 179
LOUISVILLE, KY 40206-1033
Phone number: 502-365-2022
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Mailing Address
MR. WILLIAM JERNIGAN LMT
8110 TERRY RD
LOUISVILLE, KY 40258-1732
Phone number: 502-314-9276
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