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1861962391
CHALLIS MADISON LONG
MIDLAND, TX
NPI
1861962391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139265)
Enumeration Date
2018-11-27
Last Update Date
2020-09-08
Business Address
CHALLIS MADISON LONG FNP-C
5615 DEAUVILLE STE 240
MIDLAND, TX 79706-2709
Phone number: 432-221-5560
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Mailing Address
CHALLIS MADISON LONG FNP-C
5615 DEAUVILLE STE 240
MIDLAND, TX 79706-2709
Phone number: 432-221-5560
Copy
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