TERRY WALLACE

PRESTONSBURG, KY
NPI1407579873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-09-21
Last Update Date2022-09-21
Business Address
TERRY WALLACE
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
TERRY WALLACE
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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