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1629284369
JOHN EARL LONG
JACKSONVILLE, FL
NPI
1629284369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME 63156)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- JOHN EARL LONG MD
13690 LONGS LANDING RD W
JACKSONVILLE, FL 32225-5423
Phone number: 904-535-7801
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Mailing Address
-- JOHN EARL LONG MD
13690 LONGS LANDING RD W
JACKSONVILLE, FL 32225-5423
Phone number: 904-535-7801
Copy
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