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1275254500
LYNN DIANE LONG
MANCHESTER, CT
NPI
1275254500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OH APRN.CNP.0032169)
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
LYNN DIANE LONG PHD (C), APRN, PMHNP
357 E CENTER ST
MANCHESTER, CT 06040-4472
Phone number: 860-288-5571
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Mailing Address
LYNN DIANE LONG PHD (C), APRN, PMHNP
4809 AVONDALE RIDGE DR
DUBLIN, OH 43017-8623
Phone number: 614-582-2542
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