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1396195277
JOHN PAUL LONG
ADA, OK
NPI
1396195277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2016018205)
Enumeration Date
2016-06-21
Last Update Date
2019-09-08
Business Address
Dr. JOHN PAUL LONG MD
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
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Mailing Address
Dr. JOHN PAUL LONG MD
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
Copy
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