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1003266370
JUSTIN ROSS SPENCER
LEWES, DE
NPI
1003266370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1139290)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
Mr. JUSTIN ROSS SPENCER
424 SAVANNAH RD
LEWES, DE 19958-1462
Phone number: 302-645-3336
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Mailing Address
Mr. JUSTIN ROSS SPENCER
PO BOX 2178
HAZARD, KY 41702-2178
Phone number: 606-216-0741
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