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Individual

MR. ADRIAN SENH LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-3131
(602) 865-3132
Mailing address
9583 W DEANNA DR, PEORIA, AZ 85382-8385
(623) 326-5021

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11014
AZ

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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