GARY DOUGLAS

HAZARD, KY
NPI1205133618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: KY  1634)
Enumeration Date2011-02-21
Last Update Date2014-05-01
Business Address
-- GARY DOUGLAS
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Mailing Address
-- GARY DOUGLAS
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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