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1073274932
JESSIE WAYNE FOSTER
LOUISA, KY
NPI
1073274932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
JESSIE WAYNE FOSTER
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
JESSIE WAYNE FOSTER
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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