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1407327299
JEFFREY A LONG
GREEN BAY, WI
NPI
1407327299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4603)
Enumeration Date
2018-12-06
Last Update Date
2022-05-12
Business Address
JEFFREY A LONG PA-C
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
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Mailing Address
JEFFREY A LONG PA-C
1824 TROTTER CT
DE PERE, WI 54115-4013
Phone number: 910-823-7961
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