OTTAWL DOUGLAS CONRAD

MT STERLING, KY
NPI1760230734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-05-07
Last Update Date2024-09-16
Business Address
OTTAWL DOUGLAS CONRAD PSS
209 DAVIS RD
MT STERLING, KY 40353-9549
Phone number: 859-498-6574
Mailing Address
OTTAWL DOUGLAS CONRAD PSS
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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