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1194915447
LISA KING
ELIZABETHTOWN, KY
NPI
1194915447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A2449)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
-- LISA KING
1101 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-765-6106
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Mailing Address
-- LISA KING
1101 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-765-6106
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