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1053068007
WALT MORGAN CLIVE
ELIZABETHTOWN, KY
NPI
1053068007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
Mr. WALT MORGAN CLIVE
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701-1077
Phone number: 502-994-5553
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Mailing Address
Mr. WALT MORGAN CLIVE
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701-1077
Phone number:
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