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1902496607
EDWARD SMITH
LOUISVILLE, KY
NPI
1902496607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 161913)
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
Mr. EDWARD SMITH Lmt
4227 POPLAR LEVEL RD
LOUISVILLE, KY 40213-1527
Phone number: 502-451-5959
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Mailing Address
Mr. EDWARD SMITH Lmt
2126 VILLAGE DR APT 4
LOUISVILLE, KY 40205-1940
Phone number: 832-868-8429
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