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1740931237
PENG CHU
LOUISVILLE, KY
NPI
1740931237
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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
2022-01-16
Last Update Date
2024-05-14
Business Address
PENG CHU DO
530 S JACKSON ST RM C2A03
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1732
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Mailing Address
PENG CHU DO
530 S JACKSON ST RM C2A03
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1732
Copy
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