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1801563556
JEREMIAH BULLARD
CORBIN, KY
NPI
1801563556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
JEREMIAH BULLARD
14892 N US HIGHWAY 25 E STE 3
CORBIN, KY 40701-6190
Phone number: 606-526-9348
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Mailing Address
JEREMIAH BULLARD
14892 N US HIGHWAY 25 E STE 3
CORBIN, KY 40701-6190
Phone number: 606-526-9348
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