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Individual

MS. GAIL SUZANNE LONGENECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DIP LCM

Contact information

Practice address
2362 EAGLEVIEW CIRCLE, LONGMONT, CO 80504
(303) 774-9155
(303) 997-1811
Mailing address
2362 EAGLEVIEW CIRCLE, LONGMONT, CO 80504
(303) 774-9155
(303) 997-1811

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3184
CO

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
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