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1851409809
PATTI D LONG
CHARLESTON, SC
NPI
1851409809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 1026)
Enumeration Date
2006-08-29
Last Update Date
2020-11-16
Business Address
PATTI D LONG NNP
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
PATTI D LONG NNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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