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1164648739
GREGORY ALAN MARCUM
ELIZABETHTOWN, KY
NPI
1164648739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- GREGORY ALAN MARCUM
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701-2621
Phone number: 270-769-1304
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Mailing Address
-- GREGORY ALAN MARCUM
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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