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1457003261
DAVID WATHEN
LOUISVILLE, KY
NPI
1457003261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KY 3017105)
Enumeration Date
2022-01-23
Last Update Date
2022-02-16
Business Address
Mr. DAVID WATHEN APRN
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219-3848
Phone number: 502-964-4357
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Mailing Address
Mr. DAVID WATHEN APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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