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1326103102
MICHELE ETTERBEEK LONG
SACRAMENTO, CA
NPI
1326103102
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Former Name
MICHELE LYNN ETTERBEEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA a74359)
Enumeration Date
2006-12-22
Last Update Date
2012-02-28
Business Address
-- MICHELE ETTERBEEK LONG M.D.
2516 STOCKTON BLVD TICON II STE 339
SACRAMENTO, CA 95817-2208
Phone number: 916-734-5387
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Mailing Address
-- MICHELE ETTERBEEK LONG M.D.
6324 SUTTER AVE
CARMICHAEL, CA 95608-2723
Phone number: 916-993-9923
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