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1821287343
MARY VIRGINIA BRILLIANT
LOUISVILLE, KY
NPI
1821287343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3005276)
Enumeration Date
2007-10-22
Last Update Date
2011-02-04
Business Address
Ms. MARY VIRGINIA BRILLIANT APRN
1941 BISHOP LN
LOUISVILLE, KY 40218-1922
Phone number: 502-375-3242
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Mailing Address
Ms. MARY VIRGINIA BRILLIANT APRN
1941 BISHOP LN STE. 205
LOUISVILLE, KY 40218-1922
Phone number: 502-375-3242
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