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1750117784
PHOENIX RISEN, LLC
LOUISVILLE, KY
NPI
1750117784
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Entity Type
Organization
Authorized Contact
CHIQUITA CONNER
Owner
804-651-2688
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
PHOENIX RISEN, LLC
2112 RATCLIFFE AVE
LOUISVILLE, KY 40210-2252
Phone number: 804-651-2688
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Mailing Address
PHOENIX RISEN, LLC
6709 REBECCA LN
LOUISVILLE, KY 40258-3011
Phone number: 804-651-2688
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