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1922859016
JUSTIN QUACKENBUSH
LEXINGTON, KY
NPI
1922859016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-28
Last Update Date
2024-04-01
Business Address
JUSTIN QUACKENBUSH
740 S LIMESTONE A219
LEXINGTON, KY 40536-0284
Phone number: 859-257-3462
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Mailing Address
JUSTIN QUACKENBUSH
740 S LIMESTONE A219
LEXINGTON, KY 40536-0284
Phone number: 859-257-3462
Copy
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