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1477296572
MANASAA VIJAY KANNAN
LOUISVILLE, KY
NPI
1477296572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-16
Last Update Date
2022-04-18
Business Address
MANASAA VIJAY KANNAN
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-852-5193
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Mailing Address
MANASAA VIJAY KANNAN
5216 WOLFPEN WOODS DR
PROSPECT, KY 40059-9198
Phone number: 502-544-0102
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