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1790090504
TED C FIZER
LOUISVILLE, KY
NPI
1790090504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 6571P)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
Mr. TED C FIZER ARNP
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-636-7225
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Mailing Address
Mr. TED C FIZER ARNP
1155 W 3RD ST
BLOOMINGTON, IN 47404-5016
Phone number: 812-336-1690
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