TABITHA MARIE LONG

KENOSHA, WI
NPI1417411620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
TABITHA MARIE LONG
2001 ALFORD PARK DR
KENOSHA, WI 53140-1927
Phone number: 262-551-8500
Mailing Address
TABITHA MARIE LONG
249 MAIN ST
KINGSTON, IL 60145-6800
Phone number: 815-218-4924
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