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1154645216
LISA C EVERIDGE
HAZARD, KY
NPI
1154645216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2010-03-18
Last Update Date
2010-03-18
Business Address
-- LISA C EVERIDGE
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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Mailing Address
-- LISA C EVERIDGE
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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