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1255902052
VICKI LONG
FRESNO, CA
NPI
1255902052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95177174)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
VICKI LONG
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
VICKI LONG
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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