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1497794515
NATHAN WAYNE LONG
RAPID CITY, SD
NPI
1497794515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SD 7071)
Enumeration Date
2006-06-05
Last Update Date
2019-01-10
Business Address
NATHAN WAYNE LONG M.D.
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-8222
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Mailing Address
NATHAN WAYNE LONG M.D.
PO BOX 912882
DENVER, CO 80291-2882
Phone number: 866-765-0909
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