BRIAN LONG

SALT LAKE CITY, UT
NPI1972909422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  7219681)
Enumeration Date2014-11-11
Last Update Date2014-11-11
Business Address
-- BRIAN LONG
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
Mailing Address
-- BRIAN LONG
516 E 2ND AVE APT 1
SALT LAKE CITY, UT 84103-5617
Phone number: 907-947-8430
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