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1750619995
KLARISA NICOLE STOUDEMIRE
LOUISVILLE, KY
NPI
1750619995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3006498)
Enumeration Date
2009-11-30
Last Update Date
2021-01-22
Business Address
Mrs. KLARISA NICOLE STOUDEMIRE ARNP
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401
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Mailing Address
Mrs. KLARISA NICOLE STOUDEMIRE ARNP
PO BOX 776347
CHICAGO, IL 60677-6347
Phone number: 502-588-9490
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