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1326588963
LAURA J. LONG
DECATUR, IL
NPI
1326588963
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Former Name
LAURA J. ADAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209015674)
Enumeration Date
2017-03-01
Last Update Date
2019-11-12
Business Address
LAURA J. LONG CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521
Phone number: 217-464-7569
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Mailing Address
LAURA J. LONG CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-7569
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