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1063800480
LILY TE LONG
LONG BEACH, CA
NPI
1063800480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95000468)
Enumeration Date
2015-01-07
Last Update Date
2015-01-07
Business Address
-- LILY TE LONG RN, MSN, CPNP
2046 ATLANTIC AVE
LONG BEACH, CA 90806-4916
Phone number: 562-355-6878
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Mailing Address
-- LILY TE LONG RN, MSN, CPNP
2046 ATLANTIC AVE
LONG BEACH, CA 90806-4916
Phone number: 562-355-6878
Copy
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