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1881965879
SHANNA COUCH HOLLIDAY
HAZARD, KY
NPI
1881965879
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Entity Type
Organization
Authorized Contact
SHANNA HOLLIDAY
Owner
606-439-1069
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 7633)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
SHANNA COUCH HOLLIDAY
251 MORTON BLVD
HAZARD, KY 41701-9470
Phone number: 606-439-1079
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Mailing Address
SHANNA COUCH HOLLIDAY
PO BOX 799
HAZARD, KY 41702-0799
Phone number: 606-439-1079
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