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1487139523
STEPHANIE UPHOLD
LOUISVILLE, KY
NPI
1487139523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: KY KY36217)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
Ms. STEPHANIE UPHOLD
3710 CHAMBERLAIN LN STE A
LOUISVILLE, KY 40241-2002
Phone number: 502-995-4004
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Mailing Address
Ms. STEPHANIE UPHOLD
PO BOX 24261
LOUISVILLE, KY 40224-0261
Phone number: 502-995-4004
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