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Individual

VICTORIA LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
1840 COUNTY ROAD 203, BURNET, TX 78611-6289
(512) 755-2308
Mailing address
1840 COUNTY ROAD 203, BURNET, TX 78611-6289
(512) 755-2308

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
20030004
TX

Other

Enumeration date
04/08/2020
Last updated
04/08/2020
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