MADELEINE GINETTE LONG

CHARLESTON, WV
NPI1245815737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-03-16
Last Update Date2021-03-16
Business Address
MADELEINE GINETTE LONG PA-C
2300 MACCORKLE AVE SE
CHARLESTON, WV 25304-1045
Phone number: 800-995-4682
Mailing Address
MADELEINE GINETTE LONG PA-C
416 ABBY DR
CHARLESTON, WV 25314-2423
Phone number: 304-993-4470
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