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1669974168
DANIELLE MACK
LOUISVILLE, KY
NPI
1669974168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: KY 208622)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
DANIELLE MACK CHLS
4611 PEACHTREE AVE
LOUISVILLE, KY 40215-2442
Phone number: 502-794-7008
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Mailing Address
DANIELLE MACK CHLS
4611 PEACHTREE AVE
LOUISVILLE, KY 40215-2442
Phone number: 502-794-7008
Copy
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