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1679273833
SIDNEY RAIN LONG
FORT SMITH, AR
NPI
1679273833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
226000000X Recreational Therapist Assistant
(Licence: OK 1850)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
MRS. SIDNEY RAIN LONG
8530 S 36TH TERR
FORT SMITH, AR 72908
Phone number: 918-436-9986
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Mailing Address
MRS. SIDNEY RAIN LONG
18750 RHINO RD
SPIRO, OK 74959-4724
Phone number:
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