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1215551684
JAMES PHILLIP LUALLEN
LEXINGTON, KY
NPI
1215551684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
JAMES PHILLIP LUALLEN PSS
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
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Mailing Address
JAMES PHILLIP LUALLEN PSS
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
Copy
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