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1154597250
TANNER ANDREW LONG
WILKES BARRE, PA
NPI
1154597250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: PA OT012161)
Enumeration Date
2008-05-08
Last Update Date
2020-07-30
Business Address
Dr. TANNER ANDREW LONG D.O.
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0001
Phone number: 570-808-2340
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Mailing Address
Dr. TANNER ANDREW LONG D.O.
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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