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1568038859
JOSHUA VANLONG
LOGANVILLE, GA
NPI
1568038859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN214544)
Enumeration Date
2021-05-27
Last Update Date
2024-10-17
Business Address
JOSHUA VANLONG
2720 LOGANVILLE HWY # CVS
LOGANVILLE, GA 30052-7715
Phone number: 770-277-5996
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Mailing Address
JOSHUA VANLONG
2720 LOGANVILLE HWY
LOGANVILLE, GA 30052-7715
Phone number: 770-277-5996
Copy
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