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1801341763
TAMMY LONG
RICHMOND, IN
NPI
1801341763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27041213A)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- TAMMY LONG LPN
4265 S A ST
RICHMOND, IN 47374-6049
Phone number: 765-962-8843
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Mailing Address
-- TAMMY LONG LPN
4265 S A ST
RICHMOND, IN 47374-6049
Phone number: 765-962-8843
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