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1609834621
ERIK LONG
TWIN FALLS, ID
NPI
1609834621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-9131)
Enumeration Date
2006-05-01
Last Update Date
2012-11-27
Business Address
-- ERIK LONG M.D.
388 MARTIN ST
TWIN FALLS, ID 83301-4544
Phone number: 208-734-0451
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Mailing Address
-- ERIK LONG M.D.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-3312
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