JOHNNY WADE NANTZ

MIDDLESBORO, KY
NPI1982255030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-09-20
Last Update Date2019-09-20
Business Address
JOHNNY WADE NANTZ
809 N 19TH ST
MIDDLESBORO, KY 40965
Phone number: 606-248-3042
Mailing Address
JOHNNY WADE NANTZ
134 SILK STOCKING RD
WALLINS CREEK, KY 40873-8963
Phone number:
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