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1386386423
WILLIAM ROBERT SOUTHALL
LOUISVILLE, KY
NPI
1386386423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-09
Last Update Date
2022-04-09
Business Address
WILLIAM ROBERT SOUTHALL
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 859-940-8503
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Mailing Address
WILLIAM ROBERT SOUTHALL
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 859-940-8503
Copy
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