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1295853547
DENNIS W LONG
CAPE GIRARDEAU, MO
NPI
1295853547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 096892)
Enumeration Date
2007-03-26
Last Update Date
2013-03-19
Business Address
-- DENNIS W LONG FNP
224 N FREDERICK ST
CAPE GIRARDEAU, MO 63701-5626
Phone number: 573-332-0121
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Mailing Address
-- DENNIS W LONG FNP
PO BOX 1933
CAPE GIRARDEAU, MO 63702-1933
Phone number: 573-332-7992
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