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Individual

MRS. DEBRA STORLIEN LONG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD,LD,CNSD

Contact information

Practice address
8009 TONTO PL, EL PASO, TX 79904-3123
(915) 757-2338
Mailing address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL ATTN: CREDENTIALS OFFICE, EL PASO, TX 79920-5001
(915) 569-1382
(915) 569-1233

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT027777
TX

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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