COLLIN STARK

LOUISVILLE, KY
NPI1992409031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-30
Last Update Date2023-03-30
Business Address
COLLIN STARK
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-852-5193
Mailing Address
COLLIN STARK
2908 CLEARPOINT PL
LOUISVILLE, KY 40241-6516
Phone number:
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