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1801165311
LYDIA LOUISE LONG
GREENVILLE, SC
NPI
1801165311
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Former Name
LYDIA LOUISE HODGES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 088677)
Enumeration Date
2011-12-29
Last Update Date
2023-06-13
Business Address
LYDIA LOUISE LONG CRNA
701 GROVE RD
GREENVILLE, SC 29605-5611
Phone number: 864-455-7000
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Mailing Address
LYDIA LOUISE LONG CRNA
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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