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1184066938
LONG HER
FRESNO, CA
NPI
1184066938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA23113)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
Mr. LONG HER PA
1630 E HERNDON AVE
FRESNO, CA 93720-3391
Phone number: 559-446-0777
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Mailing Address
Mr. LONG HER PA
1630 E HERNDON AVE
FRESNO, CA 93720-3391
Phone number: 559-446-0777
Copy
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