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1104966001
SUSAN LONGVILLE
PARMA, OH
NPI
1104966001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 35.049144)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
SUSAN LONGVILLE MD
7007 POWERS BLVD
PARMA, OH 44129-5437
Phone number: 330-493-4443
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Mailing Address
SUSAN LONGVILLE MD
4535 DRESSLER RD NW
CANTON, OH 44718-2545
Phone number: 330-493-4443
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