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1679183727
CHARLES LONG
ALEXANDRIA, MN
NPI
1679183727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
CHARLES LONG
512 30TH AVE E STE 100
ALEXANDRIA, MN 56308-5096
Phone number: 218-287-4338
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Mailing Address
CHARLES LONG
891 BELSLY BLVD
MOORHEAD, MN 56560-5055
Phone number:
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