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Individual

JOHN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 328-1242
Mailing address
1000 LOCUST ST, RENO, NV 89502-2597

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000034
NV
367500000X
Certified Registered Nurse Anesthetist
RN15852
NV

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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