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1447089594
LUZON PIVI MABONGHOT
LOUISVILLE, KY
NPI
1447089594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 256402)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
LUZON PIVI MABONGHOT
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number: 502-245-1576
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Mailing Address
LUZON PIVI MABONGHOT
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number:
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