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1871950956
LAUREN VREELAND-LONG
SAN RAFAEL, CA
NPI
1871950956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 17495)
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- LAUREN VREELAND-LONG
100 THORNDALE DR
SAN RAFAEL, CA 94903-4501
Phone number: 510-304-1594
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Mailing Address
-- LAUREN VREELAND-LONG
35 PARTRIDGE DR
NOVATO, CA 94945-1316
Phone number:
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