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1568107134
WYATT ANDREW NELSON
LOUISVILLE, KY
NPI
1568107134
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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
2022-04-28
Last Update Date
2022-04-28
Business Address
WYATT ANDREW NELSON
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-5193
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Mailing Address
WYATT ANDREW NELSON
616 1/2 WASHBURN AVE
LYNDON, KY 40222-4728
Phone number: 618-384-8972
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