STACY MARIE LONG

FLINT, MI
NPI1083758593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
Ms. STACY MARIE LONG ATC
G-3100 VAN SLYKE
FLINT, MI 48551-0001
Phone number: 810-835-0068
Mailing Address
Ms. STACY MARIE LONG ATC
3208 CHURCHILL AVE
FLINT, MI 48506-3021
Phone number: 810-736-3954
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