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1942577010
JENNA L LONG
LOS ANGELES, CA
NPI
1942577010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 21282)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
-- JENNA L LONG PA-C
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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Mailing Address
-- JENNA L LONG PA-C
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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