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1417667155
MARIA KAY LONG
CHARLESTON, WV
NPI
1417667155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WV 93949)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
Mrs. MARIA KAY LONG RN
400 TRACY WAY STE 100
CHARLESTON, WV 25311-1280
Phone number: 304-720-0205
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Mailing Address
Mrs. MARIA KAY LONG RN
2 STONEWOOD RD
CROSS LANES, WV 25313-2300
Phone number: 304-982-3073
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