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1023734233
COOPER RAY VANCE
ELIZABETHTOWN, KY
NPI
1023734233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
COOPER RAY VANCE
100 PAR LN
ELIZABETHTOWN, KY 42701-9059
Phone number: 270-317-0225
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Mailing Address
COOPER RAY VANCE
100 PAR LN
ELIZABETHTOWN, KY 42701-9059
Phone number: 270-317-0225
Copy
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