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1518605096
JESSICA LONG
RALEIGH, NC
NPI
1518605096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
JESSICA LONG
1042 WASHINGTON ST
RALEIGH, NC 27605-1258
Phone number: 919-781-4500
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Mailing Address
JESSICA LONG
213 TILLAMOOK DR
WAKE FOREST, NC 27587-4935
Phone number: 919-841-8994
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