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1699743567
TIMOTHY R. LONG
BOWLING GREEN, KY
NPI
1699743567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 33989)
Enumeration Date
2006-03-08
Last Update Date
2009-12-17
Business Address
-- TIMOTHY R. LONG M.D.
1320 ANDREA ST
BOWLING GREEN, KY 42104-3334
Phone number: 270-746-5455
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Mailing Address
-- TIMOTHY R. LONG M.D.
5 CHESTNUT HILL CT
BOWLING GREEN, KY 42103-7002
Phone number: 270-746-5455
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