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1780102970
MERCEDES LONGTON CONVERSE
CENTRALIA, WA
NPI
1780102970
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Former Name
MERCEDES SIMONE LONGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-09-07
Last Update Date
2019-11-11
Business Address
MERCEDES LONGTON CONVERSE PA-C
914 S SCHEUBER RD
CENTRALIA, WA 98531-9027
Phone number: 503-847-0141
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Mailing Address
MERCEDES LONGTON CONVERSE PA-C
1640B SLEATER KINNEY RD NE
OLYMPIA, WA 98506-3730
Phone number: 503-847-0141
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