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1285337212
KENNETH LONG
LIMA, OH
NPI
1285337212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
KENNETH LONG
311 E MARKET ST STE 3
LIMA, OH 45801-4535
Phone number: 419-222-4474
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Mailing Address
KENNETH LONG
311 E MARKET ST STE 3
LIMA, OH 45801-4535
Phone number: 419-222-4474
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