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1063410462
W ROGER LONG
FORT PIERCE, FL
NPI
1063410462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN0009663)
Enumeration Date
2005-07-09
Last Update Date
2007-07-08
Business Address
Dr. W ROGER LONG
1511 S 25TH ST SUITE A
FORT PIERCE, FL 34947-4779
Phone number: 772-464-2943
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Mailing Address
Dr. W ROGER LONG
1511 S 25TH ST SUITE A
FORT PIERCE, FL 34947-4779
Phone number: 772-464-2943
Copy
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