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1801327846
LOURDES LONG
BLANDING, UT
NPI
1801327846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- LOURDES LONG
356 S MAIN ST
BLANDING, UT 84511-3830
Phone number: 435-678-2992
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Mailing Address
-- LOURDES LONG
356 S MAIN ST
BLANDING, UT 84511-3830
Phone number: 435-678-2992
Copy
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