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1942696398
DAYLON LONG
BEAUMONT, TX
NPI
1942696398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP124967)
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
DAYLON LONG FNP
3406 COLLEGE ST # 100
BEAUMONT, TX 77701-4612
Phone number: 409-813-1677
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Mailing Address
DAYLON LONG FNP
3406 COLLEGE ST # 200 ATTN: LICENSING & CREDENTIALING
BEAUMONT, TX 77701-4612
Phone number: 409-813-1677
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