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* 1. Firm Name

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* 2. Parent Company if a Branch or Subsidiary

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* 3. Address

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* 4. Phone Number

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* 5. Email

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* 6. Website

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* 7. Total Full-Time Employees (located in Kentucky) *2 Part-Time Employees equal 1 Full-time Employee*

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* 8. Business Organization Type

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* 9. Firm Description

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