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1427616333
CARLY M COULTER
LOUISVILLE, KY
NPI
1427616333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
CARLY M COULTER PA
200 E CHESTNUT ST
LOUISVILLE, KY 40202-1831
Phone number: 502-634-6767
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Mailing Address
CARLY M COULTER PA
PO BOX 36218
LOUISVILLE, KY 40233-6218
Phone number: 502-634-6767
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