Individual provider · Type 1 NPI

Leslie Long

Student in an Organized Health Care Education/Training Program · Stilwell, OK

NPI number 1811327331 Active

Practice location

RR 2 Box 559
Stilwell, OK 74960-9617

Mailing address

PO Box 455
Stilwell, OK 74960-0455

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811327331

Leslie Long's National Provider Identifier is 1811327331, issued on Nov 19, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stilwell, OK. The record was last updated on Nov 19, 2013.