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1811748718
ELLIOTT REED ROMAN
LOUISVILLE, KY
NPI
1811748718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
ELLIOTT REED ROMAN
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-489-1621
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Mailing Address
ELLIOTT REED ROMAN
1629 S 3RD ST APT 202
LOUISVILLE, KY 40208-1940
Phone number: 502-489-1621
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