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1982003885
KATHLEEN MARIE LONG
MOBILE, AL
NPI
1982003885
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Former Name
KATHLEEN BARKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA1006)
Enumeration Date
2014-08-15
Last Update Date
2024-02-02
Business Address
KATHLEEN MARIE LONG PA
6701 AIRPORT BLVD STE D330
MOBILE, AL 36608-6758
Phone number: 251-340-6858
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Mailing Address
KATHLEEN MARIE LONG PA
270 PINEHILL DR
MOBILE, AL 36606-1807
Phone number: 251-209-9694
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