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1922762756
NICHOLAS PAUL SANDUSKY
LEXINGTON, KY
NPI
1922762756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: KY I14910)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
NICHOLAS PAUL SANDUSKY
789 SOUTH LIMESTONE STREET
LEXINGTON, KY 40536-0001
Phone number: 270-692-8969
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Mailing Address
NICHOLAS PAUL SANDUSKY
3200 SAINT ROSE RD
LEBANON, KY 40033-9132
Phone number: 270-692-8969
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