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1679269484
MONICA KETTAVONG
LOUISVILLE, KY
NPI
1679269484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
MONICA KETTAVONG
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-588-7183
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Mailing Address
MONICA KETTAVONG
8603 JAN WAY
LOUISVILLE, KY 40219-4237
Phone number:
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