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1467474742
ANNETTE LONG
PUEBLO, CO
NPI
1467474742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 676)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- ANNETTE LONG PhD
924 INDIANA AVE
PUEBLO, CO 81004-3747
Phone number: 719-564-9039
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Mailing Address
-- ANNETTE LONG PhD
924 INDIANA AVE
PUEBLO, CO 81004-3747
Phone number: 719-564-9039
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