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1629310685
ADAM J LONG
ITHACA, NY
NPI
1629310685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001751)
Enumeration Date
2013-03-18
Last Update Date
2013-03-18
Business Address
-- ADAM J LONG ATC, CES, PES
310 TAUGHANNOCK BLVD STE 5A
ITHACA, NY 14850-3251
Phone number: 607-252-3580
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Mailing Address
-- ADAM J LONG ATC, CES, PES
310 TAUGHANNOCK BLVD STE 5A
ITHACA, NY 14850-3251
Phone number:
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