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1548974843
ISAIAH THOMAS WILES
LOUISVILLE, KY
NPI
1548974843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA3341)
Enumeration Date
2023-01-11
Last Update Date
2024-01-29
Business Address
ISAIAH THOMAS WILES PA-C
529 S JACKSON ST
LOUISVILLE, KY 40202-3229
Phone number: 502-562-3367
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Mailing Address
ISAIAH THOMAS WILES PA-C
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-562-3367
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