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1427182823
KELLY BRENT LONGIE
BISMARCK, ND
NPI
1427182823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND PT 10482)
Enumeration Date
2007-03-15
Last Update Date
2023-06-15
Business Address
KELLY BRENT LONGIE M.D.
727 KIRKWOOD MALL
BISMARCK, ND 58504-5753
Phone number: 701-712-4500
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Mailing Address
KELLY BRENT LONGIE M.D.
727 KIRKWOOD MALL
BISMARCK, ND 58504-5753
Phone number: 701-712-4500
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