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MIRANDA MALLICOAT

Surgical Assistant

NPI: 1487309290Individual

Specialties, Licenses & Credentials

Surgery Physician

Surgery

Code: 208600000X

TSA026(KY)
Surgical AssistantPrimary

Specialist/Technologist, Other — Surgical Assistant

Code: 246ZC0007X

TSA026(KY)

Contact & Hours

Via practice · 2 locations total

Address
3900 KRESGE WAY STE 51
LOUISVILLE, KY 40207

Quick Facts

NPI
1487309290
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
2

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