JASON MICHAEL LISLE

LOUISA, KY
NPI1356138556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-04-22
Last Update Date2025-04-22
Business Address
JASON MICHAEL LISLE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1330
Phone number: 606-638-0938
Mailing Address
JASON MICHAEL LISLE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1330
Phone number: 606-638-0938
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