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1982179230
RAEDAWN M LONG
LOUISVILLE, KY
NPI
1982179230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
RAEDAWN M LONG
116 N 45TH ST
LOUISVILLE, KY 40212-2618
Phone number: 502-855-1927
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Mailing Address
RAEDAWN M LONG
116 N 45TH ST
LOUISVILLE, KY 40212-2618
Phone number: 502-855-1927
Copy
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