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1457111601
NATHANIEL LONG
DANVILLE, PA
NPI
1457111601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
NATHANIEL LONG
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6787
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Mailing Address
NATHANIEL LONG
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6787
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