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1194804963
ANDREA LONG
OAKLAND, CA
NPI
1194804963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 26899)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
-- ANDREA LONG MPT
6300 TELEGRAPH AVE
OAKLAND, CA 94609-1329
Phone number: 510-547-8293
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Mailing Address
-- ANDREA LONG MPT
4817 BROOKDALE AVE
OAKLAND, CA 94619-2510
Phone number:
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