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1902439367
BASHA FERMAN
LOUISVILLE, KY
NPI
1902439367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-02-13
Last Update Date
2020-02-25
Business Address
BASHA FERMAN
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-386-0009
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Mailing Address
BASHA FERMAN
14306 BROADDUS ST APT 101
LOUISVILLE, KY 40245-2931
Phone number:
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