Individual
MS. GEORGETTE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 303-8700
(920) 303-5644
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67624-030
WI
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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