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1477083913
ANGELA LONG
FAYETTEVILLE, GA
NPI
1477083913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN208639)
Enumeration Date
2017-06-18
Last Update Date
2021-01-22
Business Address
ANGELA LONG
1265 HIGHWAY 54 W STE 402
FAYETTEVILLE, GA 30214-4537
Phone number: 678-817-6550
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Mailing Address
ANGELA LONG
8342 HIGHWAY 54
SHARPSBURG, GA 30277-2109
Phone number:
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