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1366917908
CHARIS LEIGH GURROLA
PADUCAH, KY
NPI
1366917908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
CHARIS LEIGH GURROLA
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
CHARIS LEIGH GURROLA
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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