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1003456609
WANDA K. LONG
PALM DESERT, CA
NPI
1003456609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95013493)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
WANDA K. LONG ACNP-BC
40891 BREEZY PASS RD
PALM DESERT, CA 92211-7263
Phone number: 757-714-0916
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Mailing Address
WANDA K. LONG ACNP-BC
40891 BREEZY PASS RD
PALM DESERT, CA 92211-7263
Phone number: 757-714-0916
Copy
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