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1972109361
SONDRA STEPHANIE LONG
PINEVILLE, LA
NPI
1972109361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 200222)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
SONDRA STEPHANIE LONG LOTR, MOT
5201 SHREVEPORT HWY
PINEVILLE, LA 71360-3527
Phone number: 318-640-3014
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Mailing Address
SONDRA STEPHANIE LONG LOTR, MOT
5257 BLUEBIRD LN
ALEXANDRIA, LA 71303-2490
Phone number: 318-780-5619
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