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1063041242
VICTORIA LONG
BURNET, TX
NPI
1063041242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: TX 20030004)
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
VICTORIA LONG CPM, LM
1840 COUNTY ROAD 203
BURNET, TX 78611-6289
Phone number: 512-755-2308
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Mailing Address
VICTORIA LONG CPM, LM
1840 COUNTY ROAD 203
BURNET, TX 78611-6289
Phone number: 512-755-2308
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