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1013368596
DANIEL R LONG
BOWLING GREEN, KY
NPI
1013368596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO TL.0006144)
Enumeration Date
2016-06-27
Last Update Date
2021-09-27
Business Address
Dr. DANIEL R LONG D.O.
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-745-1000
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Mailing Address
Dr. DANIEL R LONG D.O.
24 MARTHA LN
PUEBLO, CO 81001-4608
Phone number: 610-334-3391
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