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1730884313
JESSE LONG
GREENVILLE, SC
NPI
1730884313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26834)
Enumeration Date
2023-04-03
Last Update Date
2023-05-10
Business Address
JESSE LONG
200 PATEWOOD DR STE B350
GREENVILLE, SC 29615-6337
Phone number: 864-454-4500
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Mailing Address
JESSE LONG
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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