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NPI Profile for TERESA K LONG in FORT LEONARD WOOD, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Occupational Health |
163WX0106X |
| NPI Number | 1548577885 |
|
| Status | Active | |
| Credentials | RN, BSN, COHN-S | |
| Entity | Individual | |
| Enumeration date | 09/08/2010 | |
| Last updated | 09/08/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TERESA K LONG
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TERESA K LONG, RN, BSN, COHN-S