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1285807362
KIANA LONG
TRENTON, MO
NPI
1285807362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 20100000750)
Enumeration Date
2008-04-09
Last Update Date
2019-10-23
Business Address
KIANA LONG D.O.
191 IOWA BLVD WRIGHT MEMORIAL HOSPITAL
TRENTON, MO 64683-8343
Phone number: 660-358-5700
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Mailing Address
KIANA LONG D.O.
1109 SE MERIDIAN DR
LEES SUMMIT, MO 64081-3149
Phone number: 925-354-6074
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