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1841016862
COLE STEVEN WYATT
LOUISVILLE, KY
NPI
1841016862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-25
Last Update Date
2024-11-25
Business Address
COLE STEVEN WYATT
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-5193
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Mailing Address
COLE STEVEN WYATT
642 BAXTER AVE APT 415
LOUISVILLE, KY 40204-2278
Phone number: 270-703-9379
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