BRANDY MICHELLE LONG

DOTHAN, AL
NPI1497255160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-104421)
Enumeration Date2018-02-19
Last Update Date2018-02-19
Business Address
BRANDY MICHELLE LONG NP
1736 E MAIN ST
DOTHAN, AL 36301-3040
Phone number: 334-712-9999
Mailing Address
BRANDY MICHELLE LONG NP
PO BOX 678402
DALLAS, TX 75267-8402
Phone number: 334-712-9999
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