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1699025817
JORDAN T ROSE
LEXINGTON, KY
NPI
1699025817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- JORDAN T ROSE
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
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Mailing Address
-- JORDAN T ROSE
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
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