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1205691367
NINA RAE LONG
CULLMAN, AL
NPI
1205691367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-171850)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
NINA RAE LONG CRNP
1809 KRESS ST
CULLMAN, AL 35058-1565
Phone number: 256-739-1210
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Mailing Address
NINA RAE LONG CRNP
491 SHERWOOD PL
HALEYVILLE, AL 35565-6958
Phone number: 205-485-4615
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