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1689674004
PAULETTE DENISE LONG
BALTIMORE, MD
NPI
1689674004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD R064853)
Enumeration Date
2005-07-28
Last Update Date
2010-12-22
Business Address
-- PAULETTE DENISE LONG CRNP
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-383-8300
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Mailing Address
-- PAULETTE DENISE LONG CRNP
6005 HEALY FARM RD
BALTIMORE, MD 21228-5362
Phone number: 410-744-2665
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