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1275237547
REIDIS LATA
LEXINGTON, KY
NPI
1275237547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-04-01
Business Address
REIDIS LATA DO
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536-0001
Phone number: 859-323-2834
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Mailing Address
REIDIS LATA DO
900 S LIMESTONE CTW 324
LEXINGTON, KY 40536-0293
Phone number: 859-323-2834
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