BRANDON ALLAN DIZNEY

LOUISVILLE, KY
NPI1407607880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-01
Last Update Date2024-04-01
Business Address
BRANDON ALLAN DIZNEY
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 606-521-1511
Mailing Address
BRANDON ALLAN DIZNEY
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 606-521-1511
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