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1992125918
JENNIFER NICHOLE BEACH
CORBIN, KY
NPI
1992125918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-17
Last Update Date
2014-04-17
Business Address
-- JENNIFER NICHOLE BEACH BA
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- JENNIFER NICHOLE BEACH BA
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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