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1023079837
DOUGLAS W. LONG
WILKES BARRE, PA
NPI
1023079837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MD050739)
Enumeration Date
2006-03-31
Last Update Date
2020-12-21
Business Address
Mr. DOUGLAS W. LONG PA-C
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-820-6020
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Mailing Address
Mr. DOUGLAS W. LONG PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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