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1144688656
CHARLOTTE LONG
EULESS, TX
NPI
1144688656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP130153)
Enumeration Date
2016-01-29
Last Update Date
2023-04-18
Business Address
CHARLOTTE LONG NP-C
3200 W EULESS BLVD
EULESS, TX 76040-6253
Phone number: 817-702-1100
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Mailing Address
CHARLOTTE LONG NP-C
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-553-9048
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