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1194841510
EDWARD CHARLES LONGO
MORAINE, OH
NPI
1194841510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH 35054327)
Enumeration Date
2007-03-21
Last Update Date
2012-02-09
Business Address
Dr. EDWARD CHARLES LONGO M.D.
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
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Mailing Address
Dr. EDWARD CHARLES LONGO M.D.
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
Copy
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