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1386099224
DANIEL LONG
BATON ROUGE, LA
NPI
1386099224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2016-04-28
Last Update Date
2016-07-20
Business Address
-- DANIEL LONG
10101 PARK ROWE AVE STE. 200
BATON ROUGE, LA 70810-1686
Phone number: 225-769-2200
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Mailing Address
-- DANIEL LONG
PO BOX 98509
BATON ROUGE, LA 70884-9509
Phone number: 225-769-2200
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