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1003457813
RICHARD LONG
DORCHESTER, MA
NPI
1003457813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 24456)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
RICHARD LONG
960 WILLIAM T MORRISSEY BLVD
DORCHESTER, MA 02122-3206
Phone number: 617-506-7210
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Mailing Address
RICHARD LONG
960 WILLIAM T MORRISSEY BLVD
DORCHESTER, MA 02122-3206
Phone number: 617-506-7210
Copy
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