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1336503416
AUSTIN LONGBERG
MISSION VIEJO, CA
NPI
1336503416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA 20A18173)
Enumeration Date
2016-04-05
Last Update Date
2021-11-05
Business Address
AUSTIN LONGBERG D.O
26800 CROWN VALLEY PKWY STE 435
MISSION VIEJO, CA 92691-8023
Phone number: 949-542-8007
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Mailing Address
AUSTIN LONGBERG D.O
26800 CROWN VALLEY PKWY STE 435
MISSION VIEJO, CA 92691-8023
Phone number: 949-542-8007
Copy
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