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1154103869
MEDEA LONG
SAN FRANCISCO, CA
NPI
1154103869
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Former Name
LONG CHEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-17
Last Update Date
2024-03-30
Business Address
MEDEA LONG
201 FOLSOM ST APT 21A
SAN FRANCISCO, CA 94105-5076
Phone number: 415-713-4449
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Mailing Address
MEDEA LONG
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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