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1659893469
LETEVIA HERLONG
SELMA, AL
NPI
1659893469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL F06170834)
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
LETEVIA HERLONG FNP
713 J L CHESTNUT BOULEVARD
SELMA, AL 36702
Phone number: 334-847-7428
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Mailing Address
LETEVIA HERLONG FNP
153 REESE DR
ALABASTER, AL 35007-4009
Phone number: 205-370-9614
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