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1205997210
ABIGAIL MAE LONG
COLUMBIA, MO
NPI
1205997210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2003005274)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Miss ABIGAIL MAE LONG APRN
103 RIPLEY ST
COLUMBIA, MO 65201-5738
Phone number: 573-442-9944
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Mailing Address
Miss ABIGAIL MAE LONG APRN
4700 FORUM BLVD
COLUMBIA, MO 65203-5654
Phone number: 573-449-4936
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