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1992943021
KISHA RENEA LONG
PLANO, TX
NPI
1992943021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
Mrs. KISHA RENEA LONG PA-C
6309 PRESTON RD SUITE #1400
PLANO, TX 75024-2738
Phone number: 972-312-0216
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Mailing Address
Mrs. KISHA RENEA LONG PA-C
6309 PRESTON RD SUITE #1400
PLANO, TX 75024-2738
Phone number: 972-312-0216
Copy
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