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1053725531
JUSTIN M LONG
SAINT LOUIS, MO
NPI
1053725531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO 2017016924)
Enumeration Date
2014-06-12
Last Update Date
2024-04-25
Business Address
Dr. JUSTIN M LONG MD
4921 PARKVIEW PL DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-1408
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Mailing Address
Dr. JUSTIN M LONG MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-1408
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