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Individual

BROGHAN KAYLYNNE GASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
4212 SEAGRAPE RD, LOUISVILLE, KY 40299-4084
(313) 520-5488

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
1160536
KY

Other

Enumeration date
03/25/2021
Last updated
03/25/2021
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