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1205082591
JEFFREY LEE WAYNE
OWENSBORO, KY
NPI
1205082591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY r2053)
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
-- JEFFREY LEE WAYNE OTR/L
3740 OLD HARTFORD RD
OWENSBORO, KY 42303-1727
Phone number: 270-684-7259
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Mailing Address
-- JEFFREY LEE WAYNE OTR/L
3740 OLD HARTFORD RD
OWENSBORO, KY 42303-1727
Phone number: 270-684-7259
Copy
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