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1750346169
DANIEL EDWARD LONNQUIST
SALEM, VA
NPI
1750346169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810001375)
Enumeration Date
2006-04-19
Last Update Date
2007-07-08
Business Address
DANIEL EDWARD LONNQUIST PH.D.
1970 ROANOKE BLVD DVA MEDICAL CENTER
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
DANIEL EDWARD LONNQUIST PH.D.
10430 IVY RIDGE RD
BENT MOUNTAIN, VA 24059-2132
Phone number: 540-929-4372
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