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1326778242
ETHAN DAVID CLEARY
LOUISVILLE, KY
NPI
1326778242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 008569)
Enumeration Date
2022-06-14
Last Update Date
2022-08-23
Business Address
ETHAN DAVID CLEARY DPT
11330 MAPLE BROOK DR
LOUISVILLE, KY 40241-2080
Phone number: 502-426-2221
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Mailing Address
ETHAN DAVID CLEARY DPT
1868 PLAUDIT PL STE B
LEXINGTON, KY 40509-2429
Phone number: 859-264-0512
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