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1245341445
LONG THAO
MERCED, CA
NPI
1245341445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G66867)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. LONG THAO M.D.
700 W OLIVE AVE SUITE A
MERCED, CA 95348-2435
Phone number: 209-384-8426
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Mailing Address
Dr. LONG THAO M.D.
700 W OLIVE AVE SUITE A
MERCED, CA 95348-2435
Phone number: 209-384-8426
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