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Individual

STEPHANIE J LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1227 N RAILROAD AVE STE C, ESPANOLA, NM 87532-3159
(505) 747-8187
Mailing address
PO BOX 4201, ESPANOLA, NM 87533-4201
(918) 794-0101

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R45822
NM

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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