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1295750362
CRYSTAL B LONG
JOHNSTOWN, PA
NPI
1295750362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA052464)
Enumeration Date
2006-07-12
Last Update Date
2010-07-08
Business Address
-- CRYSTAL B LONG PA-C
322 WARREN ST SUITE 300
JOHNSTOWN, PA 15905-3443
Phone number: 814-288-1418
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Mailing Address
-- CRYSTAL B LONG PA-C
322 WARREN ST SUITE 300
JOHNSTOWN, PA 15905-3443
Phone number: 814-288-1418
Copy
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