STEPHANIE LONG

LANSING, MI
NPI1396280343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007881)
Enumeration Date2016-12-29
Last Update Date2016-12-29
Business Address
-- STEPHANIE LONG PA-C
505 N CLIPPERT ST
LANSING, MI 48912-4701
Phone number: 517-999-2273
Mailing Address
-- STEPHANIE LONG PA-C
6584 NEWS RD
CHARLOTTE, MI 48813-9396
Phone number: 517-819-8485
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