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1740821081
TYLER RICHARD LONG
TWIN FALLS, ID
NPI
1740821081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1960)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
Dr. TYLER RICHARD LONG DC
1096 EASTLAND DR N STE 300
TWIN FALLS, ID 83301-8970
Phone number: 208-537-7246
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Mailing Address
Dr. TYLER RICHARD LONG DC
1096 EASTLAND DR N STE 300
TWIN FALLS, ID 83301-8970
Phone number: 208-537-7246
Copy
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