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1437641156
ROBERT LONG
EDMOND, OK
NPI
1437641156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 5455)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
ROBERT LONG DPT
14715 BRISTOL PARK BLVD
EDMOND, OK 73013-1894
Phone number: 405-840-1686
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Mailing Address
ROBERT LONG DPT
14715 BRISTOL PARK BLVD
EDMOND, OK 73013-1894
Phone number: 405-840-1686
Copy
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