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1629787908
AUSTIN QUINTON DOUGLAS
BARDSTOWN, KY
NPI
1629787908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 008673)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
AUSTIN QUINTON DOUGLAS
44 LINCOLN WAY
BARDSTOWN, KY 40004-2079
Phone number: 502-350-0880
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Mailing Address
AUSTIN QUINTON DOUGLAS
44 LINCOLN WAY
BARDSTOWN, KY 40004-2079
Phone number: 502-350-0880
Copy
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