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1568691525
LESLIE F LONG
FORT WAYNE, IN
NPI
1568691525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: IN 28069366A)
Enumeration Date
2009-07-10
Last Update Date
2009-07-10
Business Address
-- LESLIE F LONG RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
-- LESLIE F LONG RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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