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1457507147
DAVID R. LONG D.C. P.A.
TWIN FALLS, ID
NPI
1457507147
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Entity Type
Organization
Authorized Contact
DAVID R LONG
Owner
208-736-1976
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-621)
Enumeration Date
2008-08-13
Last Update Date
2008-11-12
Business Address
DAVID R. LONG D.C. P.A.
497 EASTLAND DR
TWIN FALLS, ID 83301-7441
Phone number: 208-736-1976
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Mailing Address
DAVID R. LONG D.C. P.A.
497 EASTLAND DR
TWIN FALLS, ID 83301-7441
Phone number: 208-736-1976
Copy
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