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1407608516
EDWIN COLTON FRAZIER
LOUISVILLE, KY
NPI
1407608516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
EDWIN COLTON FRAZIER
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-852-5193
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Mailing Address
EDWIN COLTON FRAZIER
295 TWIN MEADOWS RD
CAMPBELLSVILLE, KY 42718-7897
Phone number:
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