KATHLEEN LONG

PLYMOUTH, MI
NPI1720129224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704148138)
Enumeration Date2007-02-09
Last Update Date2007-07-08
Business Address
-- KATHLEEN LONG CNP
990 W ANN ARBOR TRL SUITE 210
PLYMOUTH, MI 48170-6204
Phone number: 734-455-4600
Mailing Address
-- KATHLEEN LONG CNP
2100 COMMONWEALTH BLVD SUITE 202
ANN ARBOR, MI 48105-1593
Phone number:
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