ADAM WADE STALL

LOUISA, KY
NPI1720706153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
ADAM WADE STALL CSA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
ADAM WADE STALL CSA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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