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1124151089
SUSAN S LONG
SAINT LOUIS, MO
NPI
1124151089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO R0997)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- SUSAN S LONG
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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Mailing Address
-- SUSAN S LONG
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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