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Individual

MS. CYNTHIA GAIL LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4279 N BONITA WAY, PRESCOTT VALLEY, AZ 86314
(928) 775-8619
Mailing address
4279 N BONITA WAY, PRESCOTT VALLEY, AZ 86314
(928) 775-8619

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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