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1396019006
LONG VAN
JACKSONVILLE, FL
NPI
1396019006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH10561)
Enumeration Date
2012-02-27
Last Update Date
2012-05-16
Business Address
-- LONG VAN D.C.
6025 WINDING BRIDGE DR
JACKSONVILLE, FL 32277-1443
Phone number: 904-305-3785
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Mailing Address
-- LONG VAN D.C.
6947 MERRILL RD
JACKSONVILLE, FL 32277-2684
Phone number: 904-743-2222
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