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1851517676
CARMON R RUDOLPH
LOUISVILLE, KY
NPI
1851517676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 5750)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- CARMON R RUDOLPH DMD
139 SAINT MATTHEWS AVE
LOUISVILLE, KY 40207-3117
Phone number: 502-895-3774
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Mailing Address
-- CARMON R RUDOLPH DMD
6708 HARRODS VIEW CIR
PROSPECT, KY 40059-9473
Phone number: 502-228-3068
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