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1871945832
MARILYN LONG
CASPER, WY
NPI
1871945832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 16703.1572)
Enumeration Date
2016-07-01
Last Update Date
2020-01-09
Business Address
MARILYN LONG APRN
5000 BLACKMORE RD
CASPER, WY 82609-3345
Phone number: 307-233-6000
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Mailing Address
MARILYN LONG APRN
5000 BLACKMORE RD
CASPER, WY 82609-3345
Phone number: 307-233-6000
Copy
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