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1265016901
HENRY ALPHONSO LONG
GAINESVILLE, FL
NPI
1265016901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9553451)
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
HENRY ALPHONSO LONG
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
HENRY ALPHONSO LONG
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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