MARK ANTHONY EDMONDS

HOPKINSVILLE, KY
NPI1912369406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2016-03-23
Last Update Date2019-09-20
Business Address
MARK ANTHONY EDMONDS
2400 RUSSELLVILLE RD GENESIS EAST
HOPKINSVILLE, KY 42240-8095
Phone number: 270-887-5697
Mailing Address
MARK ANTHONY EDMONDS
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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