JONATHAN N STACY

HAZARD, KY
NPI1750010054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  275909)
Enumeration Date2022-06-10
Last Update Date2022-06-10
Business Address
JONATHAN N STACY
120 DANIEL BOONE PLZ
HAZARD, KY 41701-5335
Phone number: 606-487-0244
Mailing Address
JONATHAN N STACY
120 DANIEL BOONE PLZ
HAZARD, KY 41701-5335
Phone number: 606-487-0244
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