EDINAM LONG

GREEN BAY, WI
NPI1861216384
Former NameEDINAM AMESIMEKU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  15580-33)
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
EDINAM LONG DNP
1920 LIBAL ST
GREEN BAY, WI 54301-2471
Phone number: 715-732-1648
Mailing Address
EDINAM LONG DNP
W2261 WOODRIDGE DR
MARINETTE, WI 54143-9752
Phone number: 574-540-1482
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