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1578271599
DAVID LONG
FORT WORTH, TX
NPI
1578271599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 123203)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
DAVID LONG
2500 WEST FWY STE 100
FORT WORTH, TX 76102-5850
Phone number: 817-882-8700
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Mailing Address
DAVID LONG
501 W ROSEDALE ST APT 460
FORT WORTH, TX 76104-3580
Phone number:
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