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1750803680
SAMANTHA LONG
LOS ANGELES, CA
NPI
1750803680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-07-12
Last Update Date
2023-09-05
Business Address
SAMANTHA LONG
5901 W. OLYMPIC BLVD SUITE 404
LOS ANGELES, CA 90036
Phone number: 323-938-9999
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Mailing Address
SAMANTHA LONG
5901 W. OLYMPIC BLVD SUITE 404
LOS ANGELES, CA 90036
Phone number: 858-386-6575
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