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1689703670
CHARLES KREPS-LONG
ELKHART, IN
NPI
1689703670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-03-05
Last Update Date
2016-02-16
Business Address
-- CHARLES KREPS-LONG
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
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Mailing Address
-- CHARLES KREPS-LONG
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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