NICOLE L LONG

GASSAWAY, WV
NPI1366159964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  39700)
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
NICOLE L LONG
64 STATE ST
GASSAWAY, WV 26624-1132
Phone number: 304-364-1063
Mailing Address
NICOLE L LONG
64 STATE ST
GASSAWAY, WV 26624-1132
Phone number: 304-364-1063
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