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1770245623
KALIE A LONG
TAMPA, FL
NPI
1770245623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA18425)
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
KALIE A LONG COTA/L
1002 E 15TH AVE
TAMPA, FL 33605-3321
Phone number: 314-537-7526
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Mailing Address
KALIE A LONG COTA/L
1002 E 15TH AVE
TAMPA, FL 33605-3321
Phone number: 314-537-7526
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