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1407870207
TERESA LONG
BEAR, DE
NPI
1407870207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: DE LG0000247)
Enumeration Date
2006-07-26
Last Update Date
2011-10-14
Business Address
-- TERESA LONG FNP
404 FOX HUNT DR
BEAR, DE 19701-2538
Phone number: 302-224-6800
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Mailing Address
-- TERESA LONG FNP
1010 N BANCROFT PKWY SUITE 203
WILMINGTON, DE 19805-2690
Phone number: 302-652-2455
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