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1043589112
GENEVIEVE LONG
FORT WORTH, TX
NPI
1043589112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 103600)
Enumeration Date
2011-12-20
Last Update Date
2011-12-20
Business Address
Ms. GENEVIEVE LONG LVN
1101 S MAIN ST
FORT WORTH, TX 76104-4802
Phone number: 817-321-4938
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Mailing Address
Ms. GENEVIEVE LONG LVN
900 MEADOWVIEW DR
CROWLEY, TX 76036-3012
Phone number: 817-321-4938
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