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Individual

HOLLY JO LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8087 WASHINGTON VILLAGE DR STE 120, DAYTON, OH 45458-1873
(937) 203-4848
(937) 203-4370
Mailing address
1015 LOFTON DR, ENGLEWOOD, OH 45315-8739
(937) 974-4981

Taxonomy

Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APRN.CNS.16705
OH

Other

Enumeration date
02/02/2018
Last updated
02/02/2018
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