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1821371550
JACOB GEORGE
LOUISVILLE, KY
NPI
1821371550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
-- JACOB GEORGE
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-8600
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Mailing Address
-- JACOB GEORGE
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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