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Individual

DR. MELISSA DIANE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, ATC, LAT, PES

Contact information

Practice address
1600 CAMPUS CT, ABILENE, TX 79699-1201
(817) 807-6539
Mailing address
713 EDWARD CT, ABILENE, TX 79601-2065
(817) 807-6539

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
225700000X
Massage Therapist
MT121885
TX

Other

Enumeration date
06/17/2009
Last updated
08/23/2019
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