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1851699904
LOUIS EDWARD LONG
HENDERSON, NV
NPI
1851699904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-03-13
Last Update Date
2011-03-13
Business Address
Mr. LOUIS EDWARD LONG
2260 JORDAN VALLEY CT
HENDERSON, NV 89044-1021
Phone number: 240-413-3430
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Mailing Address
Mr. LOUIS EDWARD LONG
2260 JORDAN VALLEY CT
HENDERSON, NV 89044-1021
Phone number: 240-413-3430
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