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1508521022
CORENA LYNN DUCKWALL
LA GRANGE, KY
NPI
1508521022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 161459)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
CORENA LYNN DUCKWALL
4603 TIMBERWALK CT
LA GRANGE, KY 40031-6746
Phone number: 703-864-6695
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Mailing Address
CORENA LYNN DUCKWALL
4604 TIMBERWALK CT
LA GRANGE, KY 40031-6746
Phone number: 703-864-6695
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