DEREK VAN LONG

CANTON, OH
NPI1841708765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-01-12
Last Update Date2024-08-06
Business Address
DEREK VAN LONG
4942 HIGBEE AVE NW STE C
CANTON, OH 44718-2554
Phone number: 855-289-1722
Mailing Address
DEREK VAN LONG
7471 CHEVERTON CIR NW
MASSILLON, OH 44646-7304
Phone number: 330-265-1078
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