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1407157985
NICHOLAS MICHAEL LONG
MANHATTAN, KS
NPI
1407157985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-03983)
Enumeration Date
2010-11-15
Last Update Date
2010-11-15
Business Address
-- NICHOLAS MICHAEL LONG DPT, PT
1823 COLLEGE AVE
MANHATTAN, KS 66502
Phone number: 785-587-3322
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Mailing Address
-- NICHOLAS MICHAEL LONG DPT, PT
315 SETH CHILD ROAD
MANHATTAN, KS 66502
Phone number: 785-587-4235
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