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1679090302
NICOLE MARIE LONG
WASHINGTON, DC
NPI
1679090302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: DC RN1025308)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
Mrs. NICOLE MARIE LONG NP
50 IRVING ST NW
WASHINGTON, DC 20422-0001
Phone number: 202-745-8000
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Mailing Address
Mrs. NICOLE MARIE LONG NP
4155 WEEPING WILLOW CT
CHANTILLY, VA 20151-3556
Phone number: 703-629-3922
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