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1023691334
SUSAN LONG
LAKEWOOD, CA
NPI
1023691334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95015362)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
SUSAN LONG NP
3300 E SOUTH ST STE 308
LAKEWOOD, CA 90805-4598
Phone number: 562-630-3111
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Mailing Address
SUSAN LONG NP
3300 E SOUTH ST STE 308
LAKEWOOD, CA 90805-4598
Phone number: 562-630-3111
Copy
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