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1013054915
GILBERT CARL LONG
FORT GEORGE G MEADE, MD
NPI
1013054915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 180161)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- GILBERT CARL LONG LVN
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755-5800
Phone number: 301-677-8270
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Mailing Address
-- GILBERT CARL LONG LVN
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755-5800
Phone number: 301-677-8270
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