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1871125302
LISA R MONTGOMERY
BOWLING GREEN, KY
NPI
1871125302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
LISA R MONTGOMERY
640 WRIGHT AVE
BOWLING GREEN, KY 42103-1623
Phone number: 270-495-4323
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Mailing Address
LISA R MONTGOMERY
640 WRIGHT AVE
BOWLING GREEN, KY 42103-1623
Phone number: 270-495-4323
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