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1275605842
MARYPAIGE LONG
DULUTH, GA
NPI
1275605842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006093)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mrs. MARYPAIGE LONG M.ed
3483 SATELLITE BLVD SUITE304
DULUTH, GA 30096-8692
Phone number: 770-418-1778
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Mailing Address
Mrs. MARYPAIGE LONG M.ed
4550 ANSLEY LN
CUMMING, GA 30040-5251
Phone number: 770-418-1778
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