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1841686995
VICTOR JOSE ANCIANO GRANADILLO
LOUISVILLE, KY
NPI
1841686995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: KY 55434)
Enumeration Date
2015-04-15
Last Update Date
2021-08-24
Business Address
VICTOR JOSE ANCIANO GRANADILLO MD
4402 CHURCHMAN AVE STE 300
LOUISVILLE, KY 40215-3101
Phone number: 502-363-0588
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Mailing Address
VICTOR JOSE ANCIANO GRANADILLO MD
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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