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1437332160
ROBERT EARL LONG
CLARKSDALE, MS
NPI
1437332160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MS 186980)
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
Dr. ROBERT EARL LONG DDS
527 DESOTO AVE
CLARKSDALE, MS 38614-5216
Phone number: 662-627-2565
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Mailing Address
Dr. ROBERT EARL LONG DDS
527 DESOTO AVE
CLARKSDALE, MS 38614-5216
Phone number: 662-627-2565
Copy
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