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1740745801
MOLLIE ANNE LONG
PHILADELPHIA, PA
NPI
1740745801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP019713)
Enumeration Date
2019-02-04
Last Update Date
2022-01-21
Business Address
MOLLIE ANNE LONG CRNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2777
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Mailing Address
MOLLIE ANNE LONG CRNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2777
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