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1447036546
IMAD BAHLAWANE
LOUISVILLE, KY
NPI
1447036546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
IMAD BAHLAWANE
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-562-3000
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Mailing Address
IMAD BAHLAWANE
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number:
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