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1104218098
CEDRIC MALONE
ELIZABETHTOWN, KY
NPI
1104218098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 213108)
Enumeration Date
2015-03-02
Last Update Date
2015-03-02
Business Address
Mr. CEDRIC MALONE
330 EMMAUS CIR
ELIZABETHTOWN, KY 42701-4416
Phone number: 270-900-1277
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Mailing Address
Mr. CEDRIC MALONE
330 EMMAUS CIR
ELIZABETHTOWN, KY 42701-4416
Phone number:
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