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1013990159
DEBRA STORLIEN LONG
EL PASO, TX
NPI
1013990159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT027777)
Enumeration Date
2005-11-22
Last Update Date
2007-07-08
Business Address
Mrs. DEBRA STORLIEN LONG RD,LD,CNSD
8009 TONTO PL
EL PASO, TX 79904-3123
Phone number: 915-757-2338
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Mailing Address
Mrs. DEBRA STORLIEN LONG RD,LD,CNSD
5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL ATTN: CREDENTIALS OFFICE
EL PASO, TX 79920-5001
Phone number: 915-569-1382
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