MARY LAVONNE LONG

SMYRNA, GA
NPI1295877033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN077139)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Ms. MARY LAVONNE LONG APRN
3969 S COBB DR SE STE 206
SMYRNA, GA 30080-6317
Phone number: 770-432-5326
Mailing Address
Ms. MARY LAVONNE LONG APRN
3969 S COBB DR SE STE 206
SMYRNA, GA 30080-6317
Phone number: 770-432-5326
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