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1407671027
KEVIN LONG
PADUCAH, KY
NPI
1407671027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
KEVIN LONG
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
KEVIN LONG
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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