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1255172011
JOSEPH LYNN WILLIS
LOUISA, KY
NPI
1255172011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: KY 1173717)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
JOSEPH LYNN WILLIS APSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
JOSEPH LYNN WILLIS APSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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