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1841350162
MARK DYER
LOUISVILLE, KY
NPI
1841350162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3535P)
Enumeration Date
2006-12-08
Last Update Date
2022-07-21
Business Address
-- MARK DYER FNP
12400 SHELBYVILLE RD
LOUISVILLE, KY 40243-1419
Phone number: 502-883-2218
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Mailing Address
-- MARK DYER FNP
506 EDGEFOREST PLACE
LOUISVILLE, KY 40245
Phone number: 502-845-6288
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