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1477147031
MELISSA ANN LONG
LAWRENCEVILLE, GA
NPI
1477147031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN226768)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
MELISSA ANN LONG
2000 RIVERSIDE PKWY STE 207
LAWRENCEVILLE, GA 30043-5926
Phone number: 678-646-0404
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Mailing Address
MELISSA ANN LONG
1493 LECHEMIN DR
SNELLVILLE, GA 30078-6791
Phone number: 470-273-1699
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