TERRI LONG

DAYTON, OH
NPI1619073830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OH  50.002163)
Enumeration Date2006-09-15
Last Update Date2010-03-09
Business Address
-- TERRI LONG PA
8934 KINGSRIDGE DR STE 102
DAYTON, OH 45458-1633
Phone number: 937-439-6242
Mailing Address
-- TERRI LONG PA
3298 MONTPELIER DR
KETTERING, OH 45440-1560
Phone number: 937-369-1020
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