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1992148860
BRAIN G SHORT
HAZARD, KY
NPI
1992148860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-04-10
Last Update Date
2013-04-10
Business Address
-- BRAIN G SHORT
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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Mailing Address
-- BRAIN G SHORT
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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