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1053847228
GERALD GILES
LEXINGTON, KY
NPI
1053847228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-05-10
Last Update Date
2017-05-10
Business Address
Mr. GERALD GILES
455 PARK PL
LEXINGTON, KY 40511-1830
Phone number: 859-276-0533
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Mailing Address
Mr. GERALD GILES
455 PARK PL
LEXINGTON, KY 40511-1830
Phone number: 859-276-0533
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