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1154780864
LISA LONG
COVINGTON, KY
NPI
1154780864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-02-23
Last Update Date
2020-06-10
Business Address
LISA LONG
502 FARRELL DR
COVINGTON, KY 41011-3717
Phone number: 859-466-7141
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Mailing Address
LISA LONG
1792 FOREST RUN DR
INDEPENDENCE, KY 41051-8177
Phone number: 859-466-7141
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