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1437130341
GARY LONG
JACKSONVILLE, FL
NPI
1437130341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA2387)
Enumeration Date
2005-11-08
Last Update Date
2021-03-24
Business Address
GARY LONG PA
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
GARY LONG PA
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number:
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