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1235897778
BRIAN RICHARDSON
WILMORE, KY
NPI
1235897778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3017052)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
BRIAN RICHARDSON
2105 MCCAULEY RD
WILMORE, KY 40390-9560
Phone number: 859-749-5370
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Mailing Address
BRIAN RICHARDSON
BRIAN RICHARDSON PO BOX 240
WILMORE, KY 40390-0240
Phone number: 859-749-5370
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