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1356034045
BRIAN ALLEN VICE
PRESTONSBURG, KY
NPI
1356034045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
BRIAN ALLEN VICE APSS
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
BRIAN ALLEN VICE APSS
126 WILLOW DELL DR
EWING, KY 41039-8492
Phone number: 606-748-8797
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