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1184026718
MEGAN LONG
FARGO, ND
NPI
1184026718
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Former Name
MEGAN KEIDEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ND 1291)
Enumeration Date
2014-09-26
Last Update Date
2016-09-27
Business Address
-- MEGAN LONG MOT, OTR/L
415 4TH ST N
FARGO, ND 58102-4514
Phone number: 701-446-1000
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Mailing Address
-- MEGAN LONG MOT, OTR/L
6241 55TH AVE S
FARGO, ND 58104-5669
Phone number: 701-220-3884
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