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1710211891
STEPHEN M LONG
HIXSON, TN
NPI
1710211891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1753)
Enumeration Date
2009-09-23
Last Update Date
2014-03-31
Business Address
Mr. STEPHEN M LONG PA-C
1025 EXECUTIVE DR SUITE #100
HIXSON, TN 37343-7916
Phone number: 423-870-2030
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Mailing Address
Mr. STEPHEN M LONG PA-C
1025 EXECUTIVE DR SUITE #100
HIXSON, TN 37343-7916
Phone number: 423-870-2030
Copy
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