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LOUISVILLE, KY
NPI1972482107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-09-01
Last Update Date2025-09-01
Business Address
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2417 VINEDALE AVE
LOUISVILLE, KY 40220-3632
Phone number: 502-819-5476
Mailing Address
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2417 VINEDALE AVE
LOUISVILLE, KY 40220-3632
Phone number: 502-819-5476
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