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1770342172
NATHANIEL RUDOLPH
LOUISVILLE, KY
NPI
1770342172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
NATHANIEL RUDOLPH
4448 MANSLICK RD
LOUISVILLE, KY 40216-3981
Phone number: 502-539-9872
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Mailing Address
NATHANIEL RUDOLPH
1728 YOUNGLAND AVE
LOUISVILLE, KY 40216-5136
Phone number: 502-539-9872
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