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1386280097
YUSMEL MIRABAL
LOUISVILLE, KY
NPI
1386280097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2569)
Enumeration Date
2019-11-18
Last Update Date
2020-10-26
Business Address
YUSMEL MIRABAL PA-C
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202-3907
Phone number: 502-583-1697
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Mailing Address
YUSMEL MIRABAL PA-C
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490
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