SHANNON NICOLE LONG

DANVILLE, KY
NPI1952089369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence:   CPM23060256)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
Dr. SHANNON NICOLE LONG CPM
4288 HUSTONVILLE RD
DANVILLE, KY 40422-9582
Phone number: 606-669-9033
Mailing Address
Dr. SHANNON NICOLE LONG CPM
4288 HUSTONVILLE RD
DANVILLE, KY 40422-9582
Phone number: 606-669-9033
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