MRS. Carol Jean Long
NPI #1093172108 in Chippewa Falls, Wisconsin
Provider Information
- NPI Number
- 1093172108
- Entity Type
- Individual
- Name
- MRS. Carol Jean Long
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 20, 2016
- Last Updated
- Jan 20, 2016
Practice Location
- Address
- 18404 51ST AVE
- City
- Chippewa Falls
- State
- Wisconsin
- ZIP Code
- 54729-6839
- Phone
- (715) 720-7794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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