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1104374040
SHANNON BATES
ELIZABETHTOWN, KY
NPI
1104374040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-20
Last Update Date
2016-09-20
Business Address
-- SHANNON BATES
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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Mailing Address
-- SHANNON BATES
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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