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1871598920
MIRABELLE REYES
ELIZABETHTOWN, KY
NPI
1871598920
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Former Name
MIRABELLE REYES DEMUTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: KY 02887)
Enumeration Date
2005-06-16
Last Update Date
2011-06-29
Business Address
MIRABELLE REYES D.O.
639 N MULBERRY ST
ELIZABETHTOWN, KY 42701-1931
Phone number: 270-737-4600
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Mailing Address
MIRABELLE REYES D.O.
639 N MULBERRY ST
ELIZABETHTOWN, KY 42701-1931
Phone number: 270-737-4600
Copy
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