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Mr. Robert Wayne Long, CDP
Specialist in Bonney Lake, Washington
NPI 1508908880

Robert Wayne Long is a Specialist based in Bonney Lake, WA. Robert Wayne Long practices in Bonney Lake, WA and has the professional credentials of CDP. The NPI Number for Robert Wayne Long is 1508908880 and holds a License No. CP00002606 (Washington).

The current practice location address for Robert Wayne Long is 10215 214Th Ave E, Bonney Lake, WA and can be reached out via phone at 253-862-7374 and via fax at 253-862-0448.

Location: 10215 214Th Ave E, Bonney Lake, WA, 98391-3909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508908880
Provider Name
Robert Wayne Long
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
10215 214Th Ave E, Bonney Lake, WA, 98391-3909
Phone Number
253-862-7374
Fax Number
253-862-0448
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10215 214Th Ave E
City
Bonney Lake
State
Washington
Zip
98391-3909
Phone Number
253-862-7374
Fax Number
253-862-0448
person
Provider Business Mailing Address Details
Address
10215 214Th Ave E
City
Bonney Lake
State
Washington
Zip
98391-3909
Phone Number
253-862-7374
Fax Number
253-862-0448
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CP00002606 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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