TARA LONG

CHILLICOTHE, OH
NPI1003553066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  163360)
Enumeration Date2022-05-19
Last Update Date2022-05-19
Business Address
TARA LONG
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-773-1141
Mailing Address
TARA LONG
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-773-1141
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