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1417355058
JORDAN LYEW KONG
TAMPA, FL
NPI
1417355058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT15685)
Enumeration Date
2014-12-14
Last Update Date
2014-12-14
Business Address
-- JORDAN LYEW KONG OTR/L
18901 PEBBLE LINKS CIR APT 305
TAMPA, FL 33647-1888
Phone number: 239-826-7959
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Mailing Address
-- JORDAN LYEW KONG OTR/L
18901 PEBBLE LINKS CIR APT 305
TAMPA, FL 33647-1888
Phone number:
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