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1982112850
NATISHA JEANELL LONG-BATEMAN
FLORISSANT, MO
NPI
1982112850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2017038732)
Enumeration Date
2018-01-13
Last Update Date
2018-01-13
Business Address
NATISHA JEANELL LONG-BATEMAN FNP-C
261 DUNN RD
FLORISSANT, MO 63031-7928
Phone number: 314-830-2500
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Mailing Address
NATISHA JEANELL LONG-BATEMAN FNP-C
5919 CLEMENS AVE
SAINT LOUIS, MO 63112-2013
Phone number: 314-265-4205
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