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1275668469
GRACE M LONG
PALMER, AK
NPI
1275668469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: AK 480)
Enumeration Date
2007-02-21
Last Update Date
2011-01-28
Business Address
Dr. GRACE M LONG Ph.D.
642 S ALASKA ST STE 218
PALMER, AK 99645-6378
Phone number: 907-746-1212
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Mailing Address
Dr. GRACE M LONG Ph.D.
PO BOX 773
PALMER, AK 99645-0773
Phone number: 907-746-1212
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