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1962685487
JENNIFER LONG
BLOOMINGTON, IN
NPI
1962685487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71001198A)
Enumeration Date
2007-12-06
Last Update Date
2007-12-06
Business Address
Ms. JENNIFER LONG NP
2920 MCINTYRE DR SUITE 305
BLOOMINGTON, IN 47403-4221
Phone number: 812-336-4947
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Mailing Address
Ms. JENNIFER LONG NP
2920 MCINTYRE DR SUITE 305
BLOOMINGTON, IN 47403-4221
Phone number: 812-336-4947
Copy
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