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1578837670
JACQUELINE A. LONG
DANVILLE, IL
NPI
1578837670
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Former Name
JACQUELINE ANNE DOWLING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009428)
Enumeration Date
2012-03-07
Last Update Date
2015-01-23
Business Address
Mrs. JACQUELINE A. LONG
311 WEST FAIRCHILD STREET
DANVILLE, IL 61837-3876
Phone number: 217-431-7700
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Mailing Address
Mrs. JACQUELINE A. LONG
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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