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1619589223
BRENNA JEAN LONG
MUSKEGON, MI
NPI
1619589223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704282784)
Enumeration Date
2020-08-17
Last Update Date
2024-12-02
Business Address
BRENNA JEAN LONG NP-C
2009 HOLTON RD
MUSKEGON, MI 49445-1578
Phone number: 231-291-8399
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Mailing Address
BRENNA JEAN LONG NP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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