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Individual
BRANDON M LONG
Active
Individual
BRANDON M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0026837
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0026837
OH
Other
Enumeration date
06/10/2020
Last updated
09/13/2023
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