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1841552601
CHRISTOPHER E WISE
ELIZABETHTOWN, KY
NPI
1841552601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
-- CHRISTOPHER E WISE MHA
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701-2621
Phone number: 270-769-1304
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Mailing Address
-- CHRISTOPHER E WISE MHA
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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