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1104094937
LINDA MARIE LONG
SAN CLEMENTE, CA
NPI
1104094937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000750)
Enumeration Date
2008-02-14
Last Update Date
2024-02-22
Business Address
LINDA MARIE LONG FNP-BC
187 AVENIDA LA PATA
SAN CLEMENTE, CA 92673-6307
Phone number: 949-528-4758
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Mailing Address
LINDA MARIE LONG FNP-BC
PO BOX 73236
SAN CLEMENTE, CA 92673-0107
Phone number: 949-528-4758
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