NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1003377011
GATEWAY RECOVERY CLINIC, PLLC
805 ALEXA DR STE D
MT STERLING
KY
403531000
1700390218
SHIELDS
COURTNEY
NICOLE
805 ALEXA DR STE D
MT STERLING
KY
403531000
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