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1093190035
EVAN LONG
BELLFLOWER, CA
NPI
1093190035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-20
Last Update Date
2019-03-13
Business Address
Mr. EVAN LONG B.A.
9901 ARTESIA BLVD
BELLFLOWER, CA 90706-6713
Phone number: 562-484-3385
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Mailing Address
Mr. EVAN LONG B.A.
9901 ARTESIA BLVD
BELLFLOWER, CA 90706-6713
Phone number: 562-484-3385
Copy
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