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1992158950
JACOB RYAN BISHOP
LOUISVILLE, KY
NPI
1992158950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 9778)
Enumeration Date
2016-07-14
Last Update Date
2019-01-18
Business Address
Dr. JACOB RYAN BISHOP D.M.D.
13301 SHELBYVILLE RD STE 105
LOUISVILLE, KY 40223-3937
Phone number: 502-631-9627
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Mailing Address
Dr. JACOB RYAN BISHOP D.M.D.
13301 SHELBYVILLE RD STE 105
LOUISVILLE, KY 40223-3937
Phone number: 502-599-8996
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