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1376223255
DASEAN JANUARY
LOUISVILLE, KY
NPI
1376223255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
DASEAN JANUARY TCM
12921 OBSERVATION CIR UNIT 202
LOUISVILLE, KY 40243-1678
Phone number: 502-759-4644
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Mailing Address
DASEAN JANUARY TCM
12921 OBSERVATION CIR UNIT 202
LOUISVILLE, KY 40243-1678
Phone number: 502-759-4644
Copy
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