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1972193746
TABITHA LONG
JBSA LACKLAND, TX
NPI
1972193746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904396)
Enumeration Date
2021-01-25
Last Update Date
2025-03-22
Business Address
TABITHA LONG FNP-C
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 251-610-2812
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Mailing Address
TABITHA LONG FNP-C
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number:
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