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1174558613
DIANE LONG
MEMPHIS, TN
NPI
1174558613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TN 15391)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- DIANE LONG MD
6215 HUMPHREYS BLVD SUITE 500
MEMPHIS, TN 38120-2367
Phone number: 901-682-0630
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Mailing Address
-- DIANE LONG MD
6215 HUMPHREYS BLVD SUITE 500
MEMPHIS, TN 38120-2367
Phone number: 901-682-0630
Copy
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