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1760513154
JENS O HEIDENREICH
LOUISVILLE, KY
NPI
1760513154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY FL 019)
Enumeration Date
2007-03-08
Last Update Date
2010-03-08
Business Address
-- JENS O HEIDENREICH MD
530 S JACKSON ST C07
LOUISVILLE, KY 40202-1675
Phone number: 502-852-5875
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Mailing Address
-- JENS O HEIDENREICH MD
PO BOX 21249
LOUISVILLE, KY 40221-0249
Phone number: 502-581-1500
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