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1871780965
JERMAINE TERRELL LONG
LANCASTER, CA
NPI
1871780965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-10-02
Last Update Date
2007-10-11
Business Address
Mr. JERMAINE TERRELL LONG
44847 SIERRA HWY
LANCASTER, CA 93534-3226
Phone number: 626-395-7100
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Mailing Address
Mr. JERMAINE TERRELL LONG
44847 SIERRA HWY
LANCASTER, CA 93534-3226
Phone number:
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