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1144739418
GAVIN H LONG
MILWAUKEE, WI
NPI
1144739418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2017-09-29
Last Update Date
2018-03-17
Business Address
Mr. GAVIN H LONG SLP
8534 W MILL RD
MILWAUKEE, WI 53225-1934
Phone number: 414-358-2090
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Mailing Address
Mr. GAVIN H LONG SLP
6735 W BRADLEY RD
MILWAUKEE, WI 53223
Phone number:
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