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1003173402
PHILLIP CAUDILL
PRESTONSBURG, KY
NPI
1003173402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- PHILLIP CAUDILL
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- PHILLIP CAUDILL
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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