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1821692971
AMY C LONG
GORDO, AL
NPI
1821692971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 13551)
Enumeration Date
2020-11-29
Last Update Date
2020-11-29
Business Address
AMY C LONG
536 HUDSON DR
GORDO, AL 35466-2431
Phone number: 205-364-8661
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Mailing Address
AMY C LONG
PO BOX 653
GORDO, AL 35466-0653
Phone number: 205-364-8661
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