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1720706153
ADAM WADE STALL
LOUISA, KY
NPI
1720706153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
ADAM WADE STALL CSA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
ADAM WADE STALL CSA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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