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1548012586
ELLIE GANTENBEIN
LOUISVILLE, KY
NPI
1548012586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 023712)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
ELLIE GANTENBEIN
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 615-489-0821
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Mailing Address
ELLIE GANTENBEIN
300 AXIS DR APT 210
LOUISVILLE, KY 40206-0079
Phone number: 615-489-0821
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