Leslie Long

NPI #1811327331 in Stilwell, Oklahoma

Provider Information

NPI Number: 1811327331
Entity Type: Individual
Name: Leslie Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 19, 2013
Last Updated: Nov 19, 2013

Practice Location

Address: RR 2 BOX 559
City: Stilwell
State: Oklahoma
ZIP Code: 74960-9617
Phone: (918) 696-5416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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