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1811775679
SHIVELY FIRST HEALTH CARE, LLC
LOUISVILLE, KY
NPI
1811775679
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Entity Type
Organization
Authorized Contact
DEVIN PANTESS
Business Manager
502-259-8811
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-09-21
Last Update Date
2024-07-15
Business Address
SHIVELY FIRST HEALTH CARE, LLC
3934 DIXIE HWY STE 320
LOUISVILLE, KY 40216-4198
Phone number: 502-200-1335
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Mailing Address
SHIVELY FIRST HEALTH CARE, LLC
3934 DIXIE HWY STE 320
LOUISVILLE, KY 40216-4198
Phone number: 502-200-1335
Copy
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