MOLLY U LONG

PHOENIX, AZ
NPI1285748673
Former NameMOLLY M ULRICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9847)
Enumeration Date2006-08-19
Last Update Date2024-03-15
Business Address
MOLLY U LONG PA-C
1847 W HEATHERBRAE DR STE A
PHOENIX, AZ 85015-4764
Phone number: 602-274-2100
Mailing Address
MOLLY U LONG PA-C
7017 S PRIEST DR APT 3091
TEMPE, AZ 85283-6048
Phone number: 314-596-8319
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