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JOSOPHIA DEATON HARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
Mailing address
789 PANOLA RD, WACO, KY 40385-9507

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2736
KY

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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