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Individual

PAMELA HOFMANN RISEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11901 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5906
(502) 968-6641
(502) 968-6096
Mailing address
11901 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5906
(502) 968-6641
(502) 968-6096

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110349
KY

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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