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1558663781
THOMAS EUGENE LONG
LAKE HAVASU CITY, AZ
NPI
1558663781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 34402)
Enumeration Date
2010-11-19
Last Update Date
2010-11-19
Business Address
Dr. THOMAS EUGENE LONG M.D.
1841 NUGGET DR
LAKE HAVASU CITY, AZ 86404-1813
Phone number: 928-453-8880
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Mailing Address
Dr. THOMAS EUGENE LONG M.D.
PO BOX 5505
LAKE HAVASU CITY, AZ 86404-0201
Phone number: 928-453-8880
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