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Individual

MS. DEBRA GAIL LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
1041 NOELL LN, ROCKY MOUNT, NC 27804-2058
(252) 903-5683
Mailing address
1320 BEAL ST, ROCKY MOUNT, NC 27804-5001
(252) 985-2140
(252) 442-4531

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
802840
NC

Other

Enumeration date
06/05/2006
Last updated
07/17/2010
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