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1649382995
THEODORE FORREST
LOUISVILLE, KY
NPI
1649382995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KY 23633)
Enumeration Date
2006-08-31
Last Update Date
2011-12-20
Business Address
-- THEODORE FORREST m.d.
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-634-6767
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Mailing Address
-- THEODORE FORREST m.d.
PO BOX 36218
LOUISVILLE, KY 40233-6218
Phone number: 502-634-6767
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