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1679216170
JONATHAN CHARLES BASTICK
LOUISVILLE, KY
NPI
1679216170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
JONATHAN CHARLES BASTICK
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 330-416-1645
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Mailing Address
JONATHAN CHARLES BASTICK
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 330-416-1645
Copy
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