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1043077936
YASMEEN ALYSSA CHAN-LONG
LAKELAND, FL
NPI
1043077936
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Former Name
YASMEEN ALYSSA CHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-03-06
Last Update Date
2024-09-16
Business Address
YASMEEN ALYSSA CHAN-LONG PA-C
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
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Mailing Address
YASMEEN ALYSSA CHAN-LONG PA-C
538 HAMILTON RIDGE DR
MARYVILLE, TN 37801-2520
Phone number: 904-859-3688
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