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1033955216
ANTHONY LONG
FRESNO, CA
NPI
1033955216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
ANTHONY LONG
5241 N MAPLE AVE
FRESNO, CA 93740-0001
Phone number: 559-278-4240
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Mailing Address
ANTHONY LONG
261 E MARIANA ST
RIALTO, CA 92376-2823
Phone number:
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