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1952045320
MADAN A SUBHEESWAR
LOUISVILLE, KY
NPI
1952045320
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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
2022-04-22
Last Update Date
2022-04-22
Business Address
MADAN A SUBHEESWAR
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-681-3343
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Mailing Address
MADAN A SUBHEESWAR
11120 PEBBLE CREEK DR
LOUISVILLE, KY 40241-1459
Phone number: 502-681-3343
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