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1376172932
MATTHEW LONG
SAN DIEGO, CA
NPI
1376172932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2020-04-06
Last Update Date
2021-03-18
Business Address
DR. MATTHEW LONG MD
38400 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number: 802-338-5164
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Mailing Address
DR. MATTHEW LONG MD
38400 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number: 802-338-5164
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