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1265918742
BRANDY LONG
DECATUR, GA
NPI
1265918742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN165297)
Enumeration Date
2018-07-17
Last Update Date
2020-07-01
Business Address
BRANDY LONG NP
2738 N DECATUR RD
DECATUR, GA 30033-5910
Phone number: 404-508-8058
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Mailing Address
BRANDY LONG NP
2738 N DECATUR RD
DECATUR, GA 30033-5910
Phone number: 404-508-8058
Copy
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