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Individual

TASHA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3303 W ILLINOIS AVE, SUITE 22, MIDLAND, TX 79703-6213
(432) 681-7625
Mailing address
2217 N COUNTY ROAD 1138, MIDLAND, TX 79705-9417
(432) 413-6205

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
766730
TX

Other

Enumeration date
08/16/2010
Last updated
08/16/2010
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