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1487769766
GORDON DAVID LONG
ONTARIO, OH
NPI
1487769766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35-04-9038L)
Enumeration Date
2006-08-20
Last Update Date
2022-07-05
Business Address
Dr. GORDON DAVID LONG M.D.
715 RICHLAND MALL
ONTARIO, OH 44906-3802
Phone number: 419-529-6195
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Mailing Address
Dr. GORDON DAVID LONG M.D.
700 N COLUMBUS ST
CRESTLINE, OH 44827-1455
Phone number: 419-529-6195
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