WILLIAM ROBERT SOUTHALL

LOUISVILLE, KY
NPI1386386423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-09
Last Update Date2022-04-09
Business Address
WILLIAM ROBERT SOUTHALL
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 859-940-8503
Mailing Address
WILLIAM ROBERT SOUTHALL
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 859-940-8503
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