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1700600590
JOHN TYSON DAVIES
LOUISVILLE, KY
NPI
1700600590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
JOHN TYSON DAVIES
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 435-531-1996
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Mailing Address
JOHN TYSON DAVIES
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 435-531-1996
Copy
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