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Individual

JOBIN K JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6810 DIXIE HWY, LOUISVILLE, KY 40258-3914
(502) 585-5351
Mailing address
14827 SW 35TH ST, DAVIE, FL 33331-2721

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11419
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/06/2025
Last updated
06/24/2025
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