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Individual

MARY CAROLEEN ARNOLD LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CNS

Contact information

Practice address
15 W GALBRAITH RD, CINCINNATI, OH 45216
(513) 679-8483
(513) 984-5897
Mailing address
4177 EASTLAKE DR, MASON, OH 45040-8985
(513) 398-4095

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
28127221A
IN
364S00000X
Clinical Nurse Specialist
Primary
COA05714NS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2404795
OH
Enumeration date
12/01/2006
Last updated
07/08/2007
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