DALE E LONG

O FALLON, IL
NPI1275567612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-094722)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
Dr. DALE E LONG D.O
103 N OAK ST
O FALLON, IL 62269-1165
Phone number: 618-624-3368
Mailing Address
Dr. DALE E LONG D.O
103 N OAK ST
O FALLON, IL 62269-1165
Phone number: 618-624-3368
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