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1376372979
YAUDEL ANGEL PALENZUELA BECERRA
LOUISVILLE, KY
NPI
1376372979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4024557)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
YAUDEL ANGEL PALENZUELA BECERRA
5340 ILEX AVE
LOUISVILLE, KY 40213-3018
Phone number: 786-712-5958
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Mailing Address
YAUDEL ANGEL PALENZUELA BECERRA
5340 ILEX AVE
LOUISVILLE, KY 40213-3018
Phone number: 786-712-5958
Copy
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