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1881335123
JACLYN R LONG
ANCHORAGE, AK
NPI
1881335123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
JACLYN R LONG MD
1201 E 36TH AVE
ANCHORAGE, AK 99508-4372
Phone number: 907-562-9229
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Mailing Address
JACLYN R LONG MD
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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