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1760820328
DWAYNE HERALD
HAZARD, KY
NPI
1760820328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-06-05
Last Update Date
2013-06-05
Business Address
-- DWAYNE HERALD
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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Mailing Address
-- DWAYNE HERALD
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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