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1710005533
GENEVA LONG
LOS ANGELES, CA
NPI
1710005533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Ms. GENEVA LONG
5201 S VERMONT AVE
LOS ANGELES, CA 90037-3527
Phone number: 323-751-2677
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Mailing Address
Ms. GENEVA LONG
5201 S VERMONT AVE
LOS ANGELES, CA 90037-3527
Phone number: 323-751-2677
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