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1710640008
KATHERINE KAY LONG
WEST LAFAYETTE, IN
NPI
1710640008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 71011703A)
Enumeration Date
2021-10-14
Last Update Date
2024-10-08
Business Address
Mrs. KATHERINE KAY LONG APRN
124 SAGAMORE PKWY WEST
WEST LAFAYETTE, IN 47906
Phone number: 765-463-6722
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Mailing Address
Mrs. KATHERINE KAY LONG APRN
124 SAGAMORE PKWY WEST
WEST LAFAYETTE, IN 47906
Phone number: 765-463-6722
Copy
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