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1205284924
PRIMETIME INTERVENTION
JENKINS, KY
NPI
1205284924
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Entity Type
Organization
Authorized Contact
MELENA OUTLAW
Owner
606-634-1471
Organization Subpart ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2016-06-03
Last Update Date
2016-06-03
Business Address
PRIMETIME INTERVENTION
20 ROYAL MELBOURNE LN
JENKINS, KY 41537-7512
Phone number: 606-634-1471
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Mailing Address
PRIMETIME INTERVENTION
20 ROYAL MELBOURNE LN
JENKINS, KY 41537-7512
Phone number: 606-634-1471
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