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1063594406
DEBRA S LONG
INDIANAPOLIS, IN
NPI
1063594406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2471R0002X Radiologic Technologist Radiation Therapy
(Licence: IN 171509)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
DEBRA S LONG R.T.(R)(T)
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-3011
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Mailing Address
DEBRA S LONG R.T.(R)(T)
8920 PRAIRIE TRL
AVON, IN 46123-9084
Phone number: 317-988-3011
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