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1487148409
JOE LARA
PRESTONSBURG, KY
NPI
1487148409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-06-22
Last Update Date
2018-06-22
Business Address
JOE LARA MHA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
JOE LARA MHA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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