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1861216582
ADDISON BRENT JOHNSON
LOUISVILLE, KY
NPI
1861216582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
ADDISON BRENT JOHNSON
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 270-670-6938
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Mailing Address
ADDISON BRENT JOHNSON
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 270-670-6938
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