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1184635203
HAROLD MICHAEL LONG
TULLAHOMA, TN
NPI
1184635203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 2247)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
-- HAROLD MICHAEL LONG D.D.S.
211 E LINCOLN ST
TULLAHOMA, TN 37388-3633
Phone number: 931-455-2595
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Mailing Address
-- HAROLD MICHAEL LONG D.D.S.
211 E LINCOLN ST
TULLAHOMA, TN 37388-3633
Phone number: 931-455-2595
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