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1770252934
JACOB K BOONE
LEXINGTON, KY
NPI
1770252934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 273130)
Enumeration Date
2021-09-10
Last Update Date
2021-10-04
Business Address
JACOB K BOONE OTR/L
330 WALLER AVE STE 275
LEXINGTON, KY 40504-2930
Phone number: 859-447-8600
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Mailing Address
JACOB K BOONE OTR/L
330 WALLER AVE STE 275
LEXINGTON, KY 40504-2930
Phone number: 859-447-8600
Copy
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