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1679793152
MARY ELVA LONG
TULARE, CA
NPI
1679793152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- MARY ELVA LONG LIC PSYCH TECH
1062 S K ST
TULARE, CA 93274-6421
Phone number: 559-685-2613
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Mailing Address
-- MARY ELVA LONG LIC PSYCH TECH
5957 S MOONEY BLVD
VISALIA, CA 93277-9394
Phone number: 559-737-4669
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