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1841055571
ONREQUEST LOUISVILLE LLC
LOUISVILLE, KY
NPI
1841055571
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Entity Type
Organization
Authorized Contact
ROBERT GARY POPE
Medical Director
239-908-7775
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
ONREQUEST LOUISVILLE LLC
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223-5167
Phone number: 502-901-2190
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Mailing Address
ONREQUEST LOUISVILLE LLC
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223-5167
Phone number: 502-901-2190
Copy
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