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1447364963
JAY RICHARD LONG
PHOENIX, AZ
NPI
1447364963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 8862)
Enumeration Date
2006-08-19
Last Update Date
2010-02-09
Business Address
-- JAY RICHARD LONG md
1190 E MISSOURI AVE SUIE 160
PHOENIX, AZ 85014-2734
Phone number: 602-246-7211
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Mailing Address
-- JAY RICHARD LONG md
116 W ROSE LN
PHOENIX, AZ 85013-1527
Phone number: 602-266-3997
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