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1457116741
BRIAN MATTHEW ROARK
LOUISA, KY
NPI
1457116741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
BRIAN MATTHEW ROARK PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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Mailing Address
BRIAN MATTHEW ROARK PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Copy
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