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1104811835
JOHN M LONGO
CARROLL, IA
NPI
1104811835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: IA 30135)
Enumeration Date
2005-09-19
Last Update Date
2008-10-02
Business Address
-- JOHN M LONGO MD
311 S CLARK ST
CARROLL, IA 51401-3038
Phone number: 712-792-8265
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Mailing Address
-- JOHN M LONGO MD
657 N 57TH AVE
OMAHA, NE 68132-2037
Phone number: 402-556-4617
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