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1760639421
TYESHIA HALSELL RICHARDS
LOUISVILLE, KY
NPI
1760639421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KY PA1121)
Enumeration Date
2008-08-25
Last Update Date
2021-11-03
Business Address
Mrs. TYESHIA HALSELL RICHARDS PA-C
7098 DISTRIBUTION DR STE A
LOUISVILLE, KY 40258-2879
Phone number: 502-749-8019
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Mailing Address
Mrs. TYESHIA HALSELL RICHARDS PA-C
7098 DISTRIBUTION DR STE A
LOUISVILLE, KY 40258-2879
Phone number: 502-749-8019
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