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1104461367
JACOB FANCHER
EDMONTON, KY
NPI
1104461367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
JACOB FANCHER
112 SARTIN DR
EDMONTON, KY 42129-8170
Phone number: 270-901-5000
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Mailing Address
JACOB FANCHER
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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