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1013545656
TRACEY LONG
GETTYSBURG, PA
NPI
1013545656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP021732)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
TRACEY LONG CRNP
524 S WASHINGTON ST
GETTYSBURG, PA 17325-2594
Phone number: 717-334-2183
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Mailing Address
TRACEY LONG CRNP
3132 OLD TANEYTOWN RD
WESTMINSTER, MD 21158-2537
Phone number: 443-536-1760
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