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1538700950
REX DEWAN
LOUISVILLE, KY
NPI
1538700950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3013925)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
REX DEWAN APRN
550 S JACKSON ST
LOUISVILLE, KY 40202-1622
Phone number: 502-562-3120
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Mailing Address
REX DEWAN APRN
401 E CHESTNUT ST UNIT 600
LOUISVILLE, KY 40202-5705
Phone number: 502-588-4425
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