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1366554479
JASON R. LONG
WILLIAMSON, WV
NPI
1366554479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WV 3626)
Enumeration Date
2006-08-31
Last Update Date
2022-07-21
Business Address
Dr. JASON R. LONG DDS
1628 WEST 3RD AVE
WILLIAMSON, WV 25661
Phone number: 304-236-2366
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Mailing Address
Dr. JASON R. LONG DDS
1628 WEST 3RD AVE
WILLIAMSON, WV 25661
Phone number: 304-236-2366
Copy
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