LANCE DIAMOND ROSE

LOUISA, KY
NPI1063228849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-12-06
Last Update Date2024-12-06
Business Address
LANCE DIAMOND ROSE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1330
Phone number: 606-638-0938
Mailing Address
LANCE DIAMOND ROSE PSS
PO BOX 726
LOUISA, KY 41230-0726
Phone number: 606-638-0938
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