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1710274964
THOMAS J. LONG
GRASS VALLEY, CA
NPI
1710274964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A124487)
Enumeration Date
2011-07-07
Last Update Date
2015-05-04
Business Address
-- THOMAS J. LONG M.D.
155 GLASSON WAY
GRASS VALLEY, CA 95945-5723
Phone number: 530-274-6001
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Mailing Address
-- THOMAS J. LONG M.D.
103 PROVIDENCE MINE RD STE 202
NEVADA CITY, CA 95959-2949
Phone number: 530-470-8377
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