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1083758593
STACY MARIE LONG
FLINT, MI
NPI
1083758593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
MS. STACY MARIE LONG ATC
G-3100 VAN SLYKE
FLINT, MI 48551-0001
Phone number: 810-835-0068
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Mailing Address
MS. STACY MARIE LONG ATC
3208 CHURCHILL AVE
FLINT, MI 48506-3021
Phone number: 810-736-3954
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