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1043250194
KIM T. LONG
PHOENIX, AZ
NPI
1043250194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 16770)
Enumeration Date
2006-06-07
Last Update Date
2011-08-23
Business Address
Dr. KIM T. LONG MD
4011 N 51ST AVE
PHOENIX, AZ 85031-2601
Phone number: 623-344-6900
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Mailing Address
Dr. KIM T. LONG MD
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000
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