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1093172108
CAROL JEAN LONG
CHIPPEWA FALLS, WI
NPI
1093172108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 17504-31)
Enumeration Date
2016-01-20
Last Update Date
2016-01-20
Business Address
Mrs. CAROL JEAN LONG
18404 51ST AVE
CHIPPEWA FALLS, WI 54729-6839
Phone number: 715-720-7794
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Mailing Address
Mrs. CAROL JEAN LONG
18404 51ST AVE
CHIPPEWA FALLS, WI 54729-6839
Phone number: 715-720-7794
Copy
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