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1699260059
SUSAN LONG
WICHITA FALLS, TX
NPI
1699260059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137839)
Enumeration Date
2018-06-28
Last Update Date
2023-12-29
Business Address
SUSAN LONG FNP
1600 11TH ST
WICHITA FALLS, TX 76301
Phone number: 940-764-6719
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Mailing Address
SUSAN LONG FNP
PO BOX 9261
WICHITA FALLS, TX 76308-9261
Phone number: 940-764-7230
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