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Individual

DR. JACQUES JOSEPH YOUSSEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
10820
ND
174400000X
Specialist
35.121819
OH
207RN0300X
Nephrology Physician
Primary
48362
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48362
STATE LICENSE
KY
Enumeration date
10/12/2007
Last updated
10/29/2019
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