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Individual

DR. SHEA A LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
4200 LAKE OTIS PKWY STE 302, ANCHORAGE, AK 99508-5226
(907) 561-1326
(907) 561-2865
Mailing address
4200 LAKE OTIS PKWY STE 302, ANCHORAGE, AK 99508-5226
(907) 561-1326
(907) 561-2865

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
165956
AK

Other

Enumeration date
09/16/2020
Last updated
09/22/2020
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