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1366408213
RAUL HEREDIA
FRANKFORT, KY
NPI
1366408213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: KY 35532)
Enumeration Date
2006-04-20
Last Update Date
2011-12-27
Business Address
-- RAUL HEREDIA MD
1002 LEAWOOD DR
FRANKFORT, KY 40601
Phone number: 502-227-7188
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Mailing Address
-- RAUL HEREDIA MD
PO BOX 4168
FRANKFORT, KY 40601
Phone number: 502-223-5811
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