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1740680180
JONATHAN LONG
MADISON, WI
NPI
1740680180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: WI 184922-30)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
-- JONATHAN LONG RN
1707 ROWLAND AVE # 1
MADISON, WI 53704-4109
Phone number: 802-238-2258
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Mailing Address
-- JONATHAN LONG RN
1707 ROWLAND AVE # 1
MADISON, WI 53704-4109
Phone number: 802-238-2258
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