KATHY LONG

PEORIA, IL
NPI1700328549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043051028)
Enumeration Date2016-11-10
Last Update Date2016-11-10
Business Address
-- KATHY LONG
2803 W NEWMAN PKWY
PEORIA, IL 61604-2211
Phone number: 309-687-0053
Mailing Address
-- KATHY LONG
2803 W NEWMAN PKWY
PEORIA, IL 61604-2211
Phone number: 309-687-0053
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