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1609571686
SOPHIA ANTIMISIARIS
LOUISVILLE, KY
NPI
1609571686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
SOPHIA ANTIMISIARIS DO
550 S JACKSON ST FL 3
LOUISVILLE, KY 40202-1622
Phone number: 502-852-5666
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Mailing Address
SOPHIA ANTIMISIARIS DO
550 SOUTH JACKSON STREET FL3 STE A3K00
LOUISVILLE, KY 40202
Phone number: 502-852-5666
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