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1497336994
DALLAS IVEY
ASHLAND, KY
NPI
1497336994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
DALLAS IVEY
201 22ND ST
ASHLAND, KY 41101-7803
Phone number: 160-632-9858
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Mailing Address
DALLAS IVEY
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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