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1417169269
KEVAN EDWARD LONG
ARCATA, CA
NPI
1417169269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A82620)
Enumeration Date
2007-05-04
Last Update Date
2012-08-10
Business Address
-- KEVAN EDWARD LONG M.D.
3800 JANES RD
ARCATA, CA 95521-4742
Phone number: 707-826-8264
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Mailing Address
-- KEVAN EDWARD LONG M.D.
1524 HORRELL ST
MCKINLEYVILLE, CA 95519-9467
Phone number: 785-851-8008
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