Top three major employers per county.
| Floyd County |
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| Floyd County Board Of Educ | Prestonsburg | 1050 | |||
| Highlands Hospital Corp Inc | Auxier | 571 | |||
| Mountain Comprehensive Care Center* | Prestonsburg | 322 | |||
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| Johnson County |
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| Johnson County Board Of Education | Paintsville | 550 | |||
| Wal-mart Associates Inc | Paintsville | 463 | |||
| Christian Appalachian Project | Hager Hill | 229 | |||
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| Magoffin County |
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| Magoffin County Board Of Education | Salyersville | 530 | |||
| Continental Conveyor Equipment Comp | Salyersville | 300 | |||
| Salyersville Health Care Center | Salyersville | 160 | |||
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| Martin County |
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| Martin Co Board Of Education | Inez | 500 | |||
| Beech Fork Processing Inc | Debord | 450 | |||
| Excel Mining Llc | Inez | 420 | |||
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| Pike County |
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| Pikeville Medical Center | Pikeville | 1585 | |||
| Pike County Board Of Education | Pikeville | 1560 | |||
| Sydney Coal Company | Pikeville | 800 | |||
