STEPHEN LONG

PORTLAND, ME
NPI1285261875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-24
Last Update Date2020-03-24
Business Address
STEPHEN LONG
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-622-0111
Mailing Address
STEPHEN LONG
2181 DRURY LN
BETHLEHEM, PA 18018-1237
Phone number: 484-241-1907
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