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1912729708
BRADLEY RYAN MATTINGLY
LOUISVILLE, KY
NPI
1912729708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
BRADLEY RYAN MATTINGLY
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 606-792-7148
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Mailing Address
BRADLEY RYAN MATTINGLY
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 606-792-7148
Copy
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