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1992759740
KEVIN R. LONG
JACKSONVILLE, FL
NPI
1992759740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2869582)
Enumeration Date
2006-05-19
Last Update Date
2018-08-09
Business Address
KEVIN R. LONG A.R.N.P.
1824 KING ST STE 300
JACKSONVILLE, FL 32204
Phone number: 904-388-1820
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Mailing Address
KEVIN R. LONG A.R.N.P.
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-296-5691
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