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Blaine Long, ATC
NPI 1871950113 · on the registry since 2016
Practice
- Address
- 1203 Health Professions Building
Central Michigan University
Mount Pleasant, MI 48859 - Phone
- (989) 774-2805
- Fax
- (989) 774-3024
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan