DENNIS LONG

JACKSON, MS
NPI1861436321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R851248)
Enumeration Date2006-06-15
Last Update Date2015-02-23
Business Address
-- DENNIS LONG NP
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 904-805-1300
Mailing Address
-- DENNIS LONG NP
PO BOX 75473
BALTIMORE, MD 21275-5473
Phone number: 904-805-1300
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