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1467977017
D'ANGELO JORDAN
CORBIN, KY
NPI
1467977017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
Mr. D'ANGELO JORDAN
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
Mr. D'ANGELO JORDAN
257 HANES BAKER RD
CORBIN, KY 40701-4902
Phone number:
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