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1265793905
EDWIN RAIDT
SHELBYVILLE, KY
NPI
1265793905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: KY 1564)
Enumeration Date
2012-05-30
Last Update Date
2013-02-13
Business Address
-- EDWIN RAIDT
250 ALPINE DR
SHELBYVILLE, KY 40065-8880
Phone number: 502-589-8600
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Mailing Address
-- EDWIN RAIDT
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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