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1629806716
WESLEY A SOUTAR
LOUISVILLE, KY
NPI
1629806716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 4024782)
Enumeration Date
2024-07-22
Last Update Date
2024-10-31
Business Address
WESLEY A SOUTAR DNP CRNA
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1735
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Mailing Address
WESLEY A SOUTAR DNP CRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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