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1649909961
KIM LANE
LOUISVILLE, KY
NPI
1649909961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: KY 246559)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
KIM LANE
2020 BASHFORD MANOR LN
LOUISVILLE, KY 40218-2114
Phone number: 502-451-6882
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Mailing Address
KIM LANE
2020 BASHFORD MANOR LN
LOUISVILLE, KY 40218-2114
Phone number: 502-451-6882
Copy
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