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1225058464
ERICA LONG
MT JULIET, TN
NPI
1225058464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN PA694)
Enumeration Date
2006-07-20
Last Update Date
2023-08-25
Business Address
ERICA LONG P.A.
660 S MOUNT JULIET RD STE 210
MT JULIET, TN 37122-3973
Phone number: 615-443-0901
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Mailing Address
ERICA LONG P.A.
410 42ND AVE N STE 400
NASHVILLE, TN 37209-3658
Phone number: 615-329-7887
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