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1316975063
VIVIAN LEE RAKESTRAW
LOUISVILLE, KY
NPI
1316975063
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Former Name
VIVIAN LEE LEFFLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4778P)
Enumeration Date
2006-06-30
Last Update Date
2010-08-17
Business Address
-- VIVIAN LEE RAKESTRAW
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208-1450
Phone number: 502-852-2822
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Mailing Address
-- VIVIAN LEE RAKESTRAW
501 E BROADWAY SUITE 290
LOUISVILLE, KY 40202-1785
Phone number: 502-217-8221
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