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1083780290
KRYSTAL MATSUE LONG
GARDNERVILLE, NV
NPI
1083780290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
Additional Taxonomies
374J00000X Doula
Enumeration Date
2006-11-28
Last Update Date
2024-12-17
Business Address
Mrs. KRYSTAL MATSUE LONG B.A., CLC
764 KYNDAL CT
GARDNERVILLE, NV 89460-7570
Phone number: 530-541-9355
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Mailing Address
Mrs. KRYSTAL MATSUE LONG B.A., CLC
764 KYNDAL CT
GARDNERVILLE, NV 89460-7570
Phone number: 530-414-1348
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