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1558772491
ETHAN GAYHEART
PRESTONSBURG, KY
NPI
1558772491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
-- ETHAN GAYHEART
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- ETHAN GAYHEART
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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