KATHLEEN A LONG

MISHAWAKA, IN
NPI1831113026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71001562A)
Enumeration Date2006-07-27
Last Update Date2019-01-17
Business Address
KATHLEEN A LONG APRN-BC, ND
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
Mailing Address
KATHLEEN A LONG APRN-BC, ND
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
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