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1063442028
CHARLES LONG
TALLAHASSEE, FL
NPI
1063442028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME26729)
Enumeration Date
2006-07-04
Last Update Date
2013-08-22
Business Address
-- CHARLES LONG M.D.
1205 MARION AVE
TALLAHASSEE, FL 32303-6513
Phone number: 850-681-3887
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Mailing Address
-- CHARLES LONG M.D.
PO BOX 12427
TALLAHASSEE, FL 32317-2427
Phone number: 850-297-0114
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