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1902270168
DONALD LONG
BEAUMONT, TX
NPI
1902270168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP129477)
Enumeration Date
2015-11-25
Last Update Date
2015-11-25
Business Address
-- DONALD LONG FNP-C
3070 COLLEGE ST STE 300
BEAUMONT, TX 77701-4667
Phone number: 409-892-4600
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Mailing Address
-- DONALD LONG FNP-C
3070 COLLEGE ST STE 300
BEAUMONT, TX 77701-4667
Phone number: 409-892-4600
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