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1245922103
CLARISSA ANNE LONG
TYLER, TX
NPI
1245922103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
CLARISSA ANNE LONG DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200
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Mailing Address
CLARISSA ANNE LONG DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200
Copy
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