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1376864629
GRANT B LONG
SALEM, OR
NPI
1376864629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2010-06-21
Last Update Date
2016-06-23
Business Address
GRANT B LONG DPT
4999 SKYLINE RD S SUITE 90
SALEM, OR 97306-2878
Phone number: 503-566-7700
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Mailing Address
GRANT B LONG DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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