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Individual

JOY HARTLAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 JUNEAU DR, LOUISVILLE, KY 40243-2548
(502) 245-1074
Mailing address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-6580

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012302
IN
133V00000X
Registered Dietitian
KY-0512
KY

Other

Enumeration date
10/29/2014
Last updated
10/29/2014
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