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Individual

KAREN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 945-2759
Mailing address
301 BROADWAY, CHELSEA, MA 02150-2807

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN48739
MA

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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