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1396398632
JEFFREY FULTZ
LOUISA, KY
NPI
1396398632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
JEFFREY FULTZ
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
JEFFREY FULTZ
PO BOX 726
LOUISA, KY 41230-0726
Phone number:
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