KEVIN R LONG

TACOMA, WA
NPI1912096306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00016150)
Enumeration Date2006-10-12
Last Update Date2008-05-15
Business Address
MR. KEVIN R LONG L.M.P.
4902 TACOMA MALL BLVD
TACOMA, WA 98409-7149
Phone number: 253-473-0300
Mailing Address
MR. KEVIN R LONG L.M.P.
3217 EASTLAKE AVE E APT 304
SEATTLE, WA 98102-7124
Phone number: 253-224-0103
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