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1104368513
TAYLOR FANNIN
MT STERLING, KY
NPI
1104368513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: KY 239986)
Enumeration Date
2016-11-16
Last Update Date
2019-08-02
Business Address
TAYLOR FANNIN
300 FOXGLOVE DR
MT STERLING, KY 40353-9769
Phone number: 859-498-2135
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Mailing Address
TAYLOR FANNIN
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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