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1972193746
TABITHA LONG
GULFPORT, MS
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
2021-01-27
Business Address
TABITHA LONG FNP-C
12303 HIGHWAY 49
GULFPORT, MS 39503-2780
Phone number: 228-206-6882
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Mailing Address
TABITHA LONG FNP-C
6837 BIDDIX EVANS RD
OCEAN SPRINGS, MS 39564-5073
Phone number: 251-610-2812
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