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1649055104
KIMBERLY NICOLE LONG
ATLANTA, GA
NPI
1649055104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: GA DH011822)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
KIMBERLY NICOLE LONG DENTAL HYGIENIST
2578 GRESHAM RD SE
ATLANTA, GA 30316-4138
Phone number: 404-688-1350
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Mailing Address
KIMBERLY NICOLE LONG DENTAL HYGIENIST
829 WHITE ST SW
ATLANTA, GA 30310-2721
Phone number: 626-243-3484
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