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1336169077
CHRISTIAN DANIEL LONG
GILBERT, AZ
NPI
1336169077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 2642)
Enumeration Date
2006-07-19
Last Update Date
2016-04-26
Business Address
-- CHRISTIAN DANIEL LONG PA-C
2196 E WILLIAMS FIELD RD #116
GILBERT, AZ 85295-0754
Phone number: 480-237-1395
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Mailing Address
-- CHRISTIAN DANIEL LONG PA-C
2196 E WILLIAMS FIELD RD #116
GILBERT, AZ 85295-0754
Phone number: 480-237-1395
Copy
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