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1336911759
CAN BAS
LOUISVILLE, KY
NPI
1336911759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: IN 73000271A)
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
CAN BAS
225 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202-1882
Phone number: 502-561-4263
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Mailing Address
CAN BAS
512 W ORMSBY AVE APT 522
LOUISVILLE, KY 40203-4608
Phone number: 502-281-2636
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