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1124267844
JONAH DAVID LONG
BAKERSFIELD, CA
NPI
1124267844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
-- JONAH DAVID LONG BA
1616 29TH ST
BAKERSFIELD, CA 93301-1906
Phone number: 661-326-8304
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Mailing Address
-- JONAH DAVID LONG BA
11412 REGARSE DR.
BAKERSFIELD, CA 93311
Phone number: 661-326-8304
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