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1528790227
JONATHAN PORTUONDO-SUAREZ
LOUISVILLE, KY
NPI
1528790227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
JONATHAN PORTUONDO-SUAREZ
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-819-1132
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Mailing Address
JONATHAN PORTUONDO-SUAREZ
4180 LYNDON WAY UNIT 409
LOUISVILLE, KY 40207-5042
Phone number: 502-819-1132
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