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Individual

GRACE ANNE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3333
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/30/2023
Last updated
03/25/2025
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