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1225090343
ERIC LONG
OKLAHOMA CITY, OK
NPI
1225090343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 4210)
Enumeration Date
2006-04-04
Last Update Date
2019-08-23
Business Address
ERIC LONG D.O.
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109-3413
Phone number: 405-636-7000
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Mailing Address
ERIC LONG D.O.
PO BOX 891661
OKLAHOMA CITY, OK 73189-1661
Phone number: 918-200-9450
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