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1376132423
JESSICA ANN LONG
LEBANON, NH
NPI
1376132423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NH 1935)
Enumeration Date
2021-01-13
Last Update Date
2022-11-16
Business Address
JESSICA ANN LONG PA-C
1 MEDICAL CENTER DR
LEBANON, NH 03756-1000
Phone number: 603-650-5000
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Mailing Address
JESSICA ANN LONG PA-C
PO BOX 810
HANOVER, NH 03755-0810
Phone number: 603-308-1467
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