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1821703737
LAYNE ROSS NICELY
PRESTONSBURG, KY
NPI
1821703737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: KY 251903)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
LAYNE ROSS NICELY TRAPSS
77 COPPERAS LICK BR
PRESTONSBURG, KY 41653-8861
Phone number: 606-276-1936
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Mailing Address
LAYNE ROSS NICELY TRAPSS
77 COPPERAS LICK BR
PRESTONSBURG, KY 41653-8861
Phone number: 606-276-1936
Copy
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