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1467701672
MARY ANN LONG
ROME, GA
NPI
1467701672
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Former Name
MARY ANN CHESNUT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN175517)
Enumeration Date
2012-09-04
Last Update Date
2013-03-18
Business Address
-- MARY ANN LONG CPNP
1013 N 5TH AVE NE
ROME, GA 30165-2664
Phone number: 706-234-9992
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Mailing Address
-- MARY ANN LONG CPNP
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-295-5331
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