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1063552404
KAI JEANINE LONG
ST AUGUSTINE, FL
NPI
1063552404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA8605)
Enumeration Date
2007-02-07
Last Update Date
2008-05-01
Business Address
Mrs. KAI JEANINE LONG M.A.
190 SOUTHPARK BLVD SUITE 100
ST AUGUSTINE, FL 32086-4120
Phone number: 904-824-1478
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Mailing Address
Mrs. KAI JEANINE LONG M.A.
605 TWENTY SECOND STREET
ST. AUGUSTINE, FL 32084
Phone number: 904-824-6924
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