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1952610214
WALLACE HOWARD
HAZARD, KY
NPI
1952610214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
WALLACE HOWARD
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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Mailing Address
WALLACE HOWARD
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Copy
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