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Individual
MR. MICHAEL KEITH LONG
Active
Individual
MR. MICHAEL KEITH LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,BSN
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
75456
WV
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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