TREVOR WAYNE DALE

LOUISA, KY
NPI1639944945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
TREVOR WAYNE DALE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Mailing Address
TREVOR WAYNE DALE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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