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1891005955
JODY FONSECA
LOUISVILLE, KY
NPI
1891005955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 2032302)
Enumeration Date
2010-10-07
Last Update Date
2014-05-29
Business Address
-- JODY FONSECA
708 MAGAZINE ST
LOUISVILLE, KY 40203-2043
Phone number: 502-589-6000
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Mailing Address
-- JODY FONSECA
101 W. MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1451
Phone number: 502-589-6000
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