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1356570857
ROBERT B LONG
MINOT AFB, ND
NPI
1356570857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
ROBERT B LONG IDMT
10 MISSILE AVE
MINOT AFB, ND 58705-5003
Phone number: 701-723-5474
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Mailing Address
ROBERT B LONG IDMT
1 8TH ST NW
MINOT, ND 58703-3038
Phone number: 701-852-0408
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