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1275095101
TYSON BENJAMIN LONG
TWIN FALLS, ID
NPI
1275095101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1916)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
DR. TYSON BENJAMIN LONG DC
1096 EASTLAND DR N STE 300
TWIN FALLS, ID 83301-8970
Phone number: 208-537-7246
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Mailing Address
DR. TYSON BENJAMIN LONG DC
1096 EASTLAND DR N STE 300
TWIN FALLS, ID 83301-8970
Phone number: 208-537-7246
Copy
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