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1306872379
DOUGLAS LONG
JOHNSON CITY, TN
NPI
1306872379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 1174)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS LONG R.P.h
105A BROYLES ST
JOHNSON CITY, TN 37601-2517
Phone number: 423-282-1178
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Mailing Address
Mr. DOUGLAS LONG R.P.h
105A BROYLES ST
JOHNSON CITY, TN 37601-2517
Phone number: 423-282-1178
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