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1578865283
NATHAN JOHN MITTLESTEADT
LOUISVILLE, KY
NPI
1578865283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC058)
Enumeration Date
2010-12-01
Last Update Date
2022-11-14
Business Address
NATHAN JOHN MITTLESTEADT PA-C
3 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1300
Phone number: 502-634-6767
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Mailing Address
NATHAN JOHN MITTLESTEADT PA-C
10706 IMPATIENS ST
PROSPECT, KY 40059-7542
Phone number: 850-450-8750
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