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Individual

SHELBY SUSANNE STINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3922 WILLIS AVE, LOUISVILLE, KY 40207-4911
(502) 690-4462
Mailing address
15302 FAIRWAY VISTA PL, LOUISVILLE, KY 40245-6532
(502) 424-5627

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022242
KY

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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