THERESA ADELE LONG

LOGAN, OH
NPI1962836379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN089455)
Enumeration Date2013-08-22
Last Update Date2013-08-22
Business Address
-- THERESA ADELE LONG
10099 WEBB RD
LOGAN, OH 43138-8450
Phone number: 740-583-0772
Mailing Address
-- THERESA ADELE LONG
10099 WEBB RD
LOGAN, OH 43138-8450
Phone number: 740-583-0772
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