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1245306968
JALETTA L LONG
LAWRENCEVILLE, GA
NPI
1245306968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA RN060596)
Enumeration Date
2006-11-27
Last Update Date
2015-03-26
Business Address
-- JALETTA L LONG RN MN CFNP
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-3356
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Mailing Address
-- JALETTA L LONG RN MN CFNP
PO BOX 4019
ATLANTA, GA 30302-4019
Phone number: 404-413-1191
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