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1174234488
LORRAINE RACHELLE LONG
KINGMAN, AZ
NPI
1174234488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP1600X Counselor, Pastoral
(Licence: AZ 22970)
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
Dr. LORRAINE RACHELLE LONG
1850 GATES AVE
KINGMAN, AZ 86401-8003
Phone number: 928-377-0452
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Mailing Address
Dr. LORRAINE RACHELLE LONG
4085 N VAN NUYS RD
KINGMAN, AZ 86409-2544
Phone number: 928-377-0452
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