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1831509587
JEFFREY ALAN RILEY
PADUCAH, KY
NPI
1831509587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-05-03
Last Update Date
2014-05-03
Business Address
-- JEFFREY ALAN RILEY
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
-- JEFFREY ALAN RILEY
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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