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Organization
TOWNSHIP OF LONG LAKE
Active
Organization
TOWNSHIP OF LONG LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY KAY DELEON (BILLER)
(231) 421-3159
Entity
Organization
Contact information
Practice address
8870 N LONG LAKE RD, TRAVERSE CITY, MI 49685-9622
(231) 946-2249
Mailing address
8870 N LONG LAKE RD, TRAVERSE CITY, MI 49685-9622
(231) 946-2249
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NULL
Other
Enumeration date
11/21/2021
Last updated
04/08/2022
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