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1770116931
CHASITY NICOLE LONG
FAYETTEVILLE, NC
NPI
1770116931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 1149607)
Enumeration Date
2020-02-17
Last Update Date
2023-11-19
Business Address
CHASITY NICOLE LONG PA-C
405 OWEN DR
FAYETTEVILLE, NC 28304-3411
Phone number: 910-323-3183
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Mailing Address
CHASITY NICOLE LONG PA-C
405 OWEN DR
FAYETTEVILLE, NC 28304-3411
Phone number: 910-323-3183
Copy
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