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1386129229
CASEY LONG
ELIZABETH CITY, NC
NPI
1386129229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 11199)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
CASEY LONG
1745 CITY CENTER BLVD STE A
ELIZABETH CITY, NC 27909-8953
Phone number: 252-331-2304
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Mailing Address
CASEY LONG
1745 CITY CENTER BLVD STE A
ELIZABETH CITY, NC 27909-8953
Phone number: 252-331-2304
Copy
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