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1013575380
JEREMY JUSTICE
PRESTONSBURG, KY
NPI
1013575380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
JEREMY JUSTICE
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
JEREMY JUSTICE
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Copy
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