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1730482878
SARA LONG
ROCK ISLAND, IL
NPI
1730482878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.004204)
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
-- SARA LONG PTA
1209 21ST AVE
ROCK ISLAND, IL 61201-7900
Phone number: 309-786-9334
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Mailing Address
-- SARA LONG PTA
7411 112TH ST
BLUE GRASS, IA 52726-9121
Phone number: 563-343-4735
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