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1689491086
KAYLA LONG
SULLIVAN, MO
NPI
1689491086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO InProcess)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
KAYLA LONG FNP
1326 S SERVICE RD W STE 10
SULLIVAN, MO 63080-2306
Phone number: 573-468-4455
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Mailing Address
KAYLA LONG FNP
192 OLE DIRT RD
BOURBON, MO 65441-8231
Phone number: 314-402-8408
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