DONTAVIUS GAINES

ELIZABETHTOWN, KY
NPI1598632150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-10-20
Last Update Date2025-10-20
Business Address
DONTAVIUS GAINES APSS
511 BRIGHTON CT
ELIZABETHTOWN, KY 42701-3461
Phone number: 270-300-4722
Mailing Address
DONTAVIUS GAINES APSS
511 BRIGHTON CT
ELIZABETHTOWN, KY 42701-3461
Phone number: 270-300-4722
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