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1467115568
TACHISHA MAE WALLS
LOUISVILLE, KY
NPI
1467115568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3016808)
Enumeration Date
2021-10-16
Last Update Date
2021-12-13
Business Address
TACHISHA MAE WALLS
401 E CHESTNUT ST UNIT 610
LOUISVILLE, KY 40202-5711
Phone number: 502-588-4450
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Mailing Address
TACHISHA MAE WALLS
401 E CHESTNUT ST UNIT 610
LOUISVILLE, KY 40202-5711
Phone number: 502-588-4450
Copy
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