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1104127703
TONI L LONG M D A MEDICAL CORPORATION
SANTA MONICA, CA
NPI
1104127703
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Entity Type
Organization
Authorized Contact
MONICA M WENZEL
Biller
310-915-9154
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA G65155)
Enumeration Date
2010-11-12
Last Update Date
2010-11-12
Business Address
TONI L LONG M D A MEDICAL CORPORATION
2020 SANTA MONICA BLVD STE 570
SANTA MONICA, CA 90404-2131
Phone number: 310-453-9289
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Mailing Address
TONI L LONG M D A MEDICAL CORPORATION
2020 SANTA MONICA BLVD STE 570
SANTA MONICA, CA 90404-2131
Phone number: 310-453-9289
Copy
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