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1568954279
RESTART CLINIC, PLLC
NICHOLASVILLE, KY
NPI
1568954279
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Entity Type
Organization
Authorized Contact
JACK L HOLLINS
Member/Manager
859-264-7722
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
RESTART CLINIC, PLLC
129 EDGEWOOD PLAZA DR
NICHOLASVILLE, KY 40356-1818
Phone number: 859-264-7722
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Mailing Address
RESTART CLINIC, PLLC
2112 CAVE HILL LN
LEXINGTON, KY 40513-1055
Phone number: 859-224-8835
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