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1568104701
JONATHAN CHRISTOPHER TYES
LOUISVILLE, KY
NPI
1568104701
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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
2022-04-08
Last Update Date
2022-04-08
Business Address
JONATHAN CHRISTOPHER TYES
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-562-3000
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Mailing Address
JONATHAN CHRISTOPHER TYES
1416 CRAZY HORSE LN APT 202
LOUISVILLE, KY 40243-3907
Phone number: 216-346-3341
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