STEPHEN LONG

KLAMATH FALLS, OR
NPI1376633685
Professional NameSTEPHEN LONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA 10921)
Enumeration Date2006-10-15
Last Update Date2007-07-08
Business Address
-- STEPHEN LONG
1700 WADE CIR
KLAMATH FALLS, OR 97601-1581
Phone number: 541-883-7144
Mailing Address
-- STEPHEN LONG
1700 WADE CIR
KLAMATH FALLS, OR 97601-1581
Phone number: 541-883-7144
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