Individual
MS. CARLEEN K LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9050 LAUTENSCHLAGER RD, APPLE CREEK, OH 44606-9704
(330) 473-5541
(330) 698-0313
Mailing address
9050 LAUTENSCHLAGER RD, APPLE CREEK, OH 44606-9704
(330) 473-5541
(330) 698-0313
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120130
OH
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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