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1942940200
TABATHA ANN SHUMATE
PRESTONSBURG, KY
NPI
1942940200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-04-01
Last Update Date
2023-01-05
Business Address
TABATHA ANN SHUMATE PSS
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
TABATHA ANN SHUMATE PSS
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Copy
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