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1306882170
MARY T SELF
LOUISVILLE, KY
NPI
1306882170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: KY 24710)
Enumeration Date
2006-06-21
Last Update Date
2019-01-23
Business Address
MARY T SELF M.D.
6400 DUTCHMANS PKWY STE 345
LOUISVILLE, KY 40205-3370
Phone number: 502-587-6010
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Mailing Address
MARY T SELF M.D.
100 E LIBERTY ST SUITE 800
LOUISVILLE, KY 40202-1434
Phone number: 502-587-6010
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