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1275562167
AMY M. CISSELL
LOUISVILLE, KY
NPI
1275562167
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Former Name
AMY M. BLACKWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 5181P)
Enumeration Date
2006-07-02
Last Update Date
2020-10-13
Business Address
AMY M. CISSELL ARNP
1000 DUPONT RD
LOUISVILLE, KY 40207-4611
Phone number: 502-899-6405
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Mailing Address
AMY M. CISSELL ARNP
PO BOX 766351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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