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1225349244
JONATHAN RAY LONG MD LLC
WEATHERFORD, OK
NPI
1225349244
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Entity Type
Organization
Authorized Contact
JONATHON RAY LONG
President
580-772-5600
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-06-24
Last Update Date
2019-02-25
Business Address
JONATHAN RAY LONG MD LLC
210 E FRANKLIN AVE
WEATHERFORD, OK 73096-5135
Phone number: 580-772-5600
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Mailing Address
JONATHAN RAY LONG MD LLC
3735 LEGACY DRIVE
WEATHERFORD, OK 73096-3309
Phone number: 580-772-5600
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