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1124668231
SUSANNA LONG HALEY
FAYETTEVILLE, NC
NPI
1124668231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-09668)
Enumeration Date
2020-01-07
Last Update Date
2020-01-10
Business Address
SUSANNA LONG HALEY PA
2301 ROBESON ST
FAYETTEVILLE, NC 28305-5640
Phone number: 910-484-4100
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Mailing Address
SUSANNA LONG HALEY PA
905 EMELINE AVE
FAYETTEVILLE, NC 28303-5421
Phone number: 910-308-9843
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