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1659351260
EDWIN THOMAS LONG
BREMERTON, WA
NPI
1659351260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: VA 0101057130)
Enumeration Date
2006-01-19
Last Update Date
2007-07-08
Business Address
Dr. EDWIN THOMAS LONG M.D.
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 360-475-4334
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Mailing Address
Dr. EDWIN THOMAS LONG M.D.
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 360-475-4334
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