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1619323623
CARRIE LONG
BEDFORD, IN
NPI
1619323623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28161644A)
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
-- CARRIE LONG PMHNP
2125 16TH ST
BEDFORD, IN 47421-3003
Phone number: 812-275-4053
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Mailing Address
-- CARRIE LONG PMHNP
2125 16TH ST
BEDFORD, IN 47421-3003
Phone number: 812-275-4053
Copy
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