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1043460413
KRIS AVERELL
PROSPECT, KY
NPI
1043460413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: KY KY-R3826)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
-- KRIS AVERELL MSOTR/L
3103 RIDGEMOOR CT
PROSPECT, KY 40059-8111
Phone number: 502-228-5776
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Mailing Address
-- KRIS AVERELL MSOTR/L
3103 RIDGEMOOR CT
PROSPECT, KY 40059-8111
Phone number: 502-228-5776
Copy