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Individual

JAMIE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
7700 WASHINGTON VILLAGE DR, SUITE 230, DAYTON, OH 45459-4094
(937) 438-0009
(937) 438-0902
Mailing address
7700 WASHINGTON VILLAGE DR, SUITE 220, DAYTON, OH 45459-4094
(937) 438-0009
(937) 438-0902

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.18885-NP
OH

Other

Enumeration date
03/22/2016
Last updated
03/22/2016
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