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Individual

MISS ABIGAIL MAE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
103 RIPLEY ST, COLUMBIA, MO 65201-5738
(573) 442-9944
(573) 442-5345
Mailing address
4700 FORUM BLVD, COLUMBIA, MO 65203-5654
(573) 449-4936
(573) 449-6795

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003005274
MO

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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