GILLIAN K LONG

ALTON, IL
NPI1790345726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209018721)
Enumeration Date2019-06-20
Last Update Date2024-04-12
Business Address
GILLIAN K LONG FNP-C
1 PROFESSIONAL DR
ALTON, IL 62002-5068
Phone number: 618-463-8500
Mailing Address
GILLIAN K LONG FNP-C
660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8512
Phone number: 314-448-3791
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