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1407436223
MICHAEL S LONG LLC
SAN ANTONIO, TX
NPI
1407436223
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Entity Type
Organization
Authorized Contact
MICHAEL LONG
Owner
210-200-9864
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
MICHAEL S LONG LLC
9330 ARDEN BND
SAN ANTONIO, TX 78250-2710
Phone number: 210-200-9864
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Mailing Address
MICHAEL S LONG LLC
9330 ARDEN BND
SAN ANTONIO, TX 78250-2710
Phone number:
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