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1184096182
MICHAEL KEITH LONG
BECKLEY, WV
NPI
1184096182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: WV 75456)
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
Mr. MICHAEL KEITH LONG RN,BSN
606 N KANAWHA ST
BECKLEY, WV 25801-3819
Phone number: 304-860-2513
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Mailing Address
Mr. MICHAEL KEITH LONG RN,BSN
606 N KANAWHA ST
BECKLEY, WV 25801-3819
Phone number: 304-860-2513
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