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1215595178
JENNIFER LONG
MEDFORD, OR
NPI
1215595178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC192417)
Enumeration Date
2019-06-04
Last Update Date
2022-10-06
Business Address
JENNIFER LONG L.Ac
3132 STATE ST
MEDFORD, OR 97504-8688
Phone number: 541-414-0503
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Mailing Address
JENNIFER LONG L.Ac
524 ST AUGUSTINE DR
MEDFORD, OR 97504-2154
Phone number: 541-531-2151
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