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1366937260
HAYLEY RUSSELL
LOUISVILLE, KY
NPI
1366937260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3011752)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
HAYLEY RUSSELL
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215-1130
Phone number: 502-375-6643
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Mailing Address
HAYLEY RUSSELL
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215-1130
Phone number: 502-375-6643
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