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1700532967
TABITHA JEANNE DAVIS
LOUISVILLE, KY
NPI
1700532967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3017451)
Enumeration Date
2022-02-25
Last Update Date
2022-05-18
Business Address
Mrs. TABITHA JEANNE DAVIS Nurse Practitioner
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-1033
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Mailing Address
Mrs. TABITHA JEANNE DAVIS Nurse Practitioner
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700
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