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Individual

DR. ANTHONY JAE SEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1475 DIXIE HWY, LOUISVILLE, KY 40210-1767
(502) 776-1840
Mailing address
10810 SYMINGTON CIR, LOUISVILLE, KY 40241-1282
(502) 445-0377

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022465
KY

Other

Enumeration date
11/15/2021
Last updated
11/15/2021
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