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1407550643
LUCAS JOSEPH NIEBRUGGE
LOUISVILLE, KY
NPI
1407550643
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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
2023-03-30
Last Update Date
2023-03-30
Business Address
LUCAS JOSEPH NIEBRUGGE
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-794-7345
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Mailing Address
LUCAS JOSEPH NIEBRUGGE
7410 ABBOTT GLEN DR
CRESTWOOD, KY 40014-8221
Phone number: 502-794-7345
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