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1497840326
MARY K LONG
JACKSONVILLE, FL
NPI
1497840326
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Former Name
MARY K FALBO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA0003154)
Enumeration Date
2006-10-04
Last Update Date
2020-10-22
Business Address
MARY K LONG PA
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204-4717
Phone number: 904-634-0640
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Mailing Address
MARY K LONG PA
6500 BOWDEN RD STE 103
JACKSONVILLE, FL 32216-8066
Phone number: 904-634-0640
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