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1194811570
JACQUELINE L LONG
KANSAS CITY, KS
NPI
1194811570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KS 55022)
Enumeration Date
2006-10-05
Last Update Date
2014-07-25
Business Address
-- JACQUELINE L LONG CRNA
3901 RAINBOW BLVD
KANSAS CITY, KS 66160-8500
Phone number: 913-588-5000
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Mailing Address
-- JACQUELINE L LONG CRNA
PO BOX 411851
KANSAS CITY, MO 64141-1851
Phone number: 913-588-5000
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