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1497516165
JOHNNA JOLYNE LONG
GRAND JUNCTION, CO
NPI
1497516165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 276670)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
JOHNNA JOLYNE LONG
2115 GRAND AVE
GRAND JUNCTION, CO 81501-8007
Phone number: 970-254-4872
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Mailing Address
JOHNNA JOLYNE LONG
PO BOX 481
MESA, CO 81643-0481
Phone number: 970-373-8417
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