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1841047586
CODY ALTON LONG
LUMBERTON, NC
NPI
1841047586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
CODY ALTON LONG
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
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Mailing Address
CODY ALTON LONG
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number:
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