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1295077220
MICHELE LYNN LONG
CHARLESTON, WV
NPI
1295077220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 63054)
Enumeration Date
2013-03-15
Last Update Date
2015-12-23
Business Address
-- MICHELE LYNN LONG APRN, FNP-BC
310 35TH ST SE SUITE 301
CHARLESTON, WV 25304-1352
Phone number: 304-720-9595
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Mailing Address
-- MICHELE LYNN LONG APRN, FNP-BC
600 TRACY WAY SUITE 2
CHARLESTON, WV 25311-1262
Phone number: 304-388-4965
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