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1679740245
BRANDI LONG
MOUNTAIN HOME, AR
NPI
1679740245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L45738)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
-- BRANDI LONG LPN
1041 HIGHLAND CIR
MOUNTAIN HOME, AR 72653-3267
Phone number: 870-425-1041
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Mailing Address
-- BRANDI LONG LPN
4508 STADIUM BLVD
JONESBORO, AR 72404-9675
Phone number: 870-933-6886
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