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Individual

NATALIE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1027 N MAIN ST, LUMBERTON, TX 77657-7362
(409) 751-0100
(409) 751-0700
Mailing address
775 BUTLER RD, VIDOR, TX 77662-6507
(409) 332-5031

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81339
TX

Other

Enumeration date
01/22/2013
Last updated
01/24/2013
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