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1134380884
ALICE LURLINE LONG
SAN RAFAEL, CA
NPI
1134380884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: CA 11180)
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
-- ALICE LURLINE LONG Physical THerapist
1550 SILVEIRA PKWY
SAN RAFAEL, CA 94903-4879
Phone number: 415-446-3817
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Mailing Address
-- ALICE LURLINE LONG Physical THerapist
859 HACIENDA WAY
SAN RAFAEL, CA 94903-2911
Phone number: 415-507-0377
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