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1770907131
DESIREE LONG
FAIRFIELD, CA
NPI
1770907131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 278177)
Enumeration Date
2014-02-05
Last Update Date
2014-02-05
Business Address
-- DESIREE LONG
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-750-3000
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Mailing Address
-- DESIREE LONG
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-750-3000
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