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1003855362
LOUIS LONG
DAYTON, OH
NPI
1003855362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 14860)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
-- LOUIS LONG CTRS
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 937-268-6511
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Mailing Address
-- LOUIS LONG CTRS
4201 WOODBINE AVE
DAYTON, OH 45420-2751
Phone number: 937-252-2411
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