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1750706503
PATRICK T LONG
WEIRTON, WV
NPI
1750706503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG006970)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
Mr. PATRICK T LONG
3709 COLLINS WAY
WEIRTON, WV 26062
Phone number: 304-479-3301
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Mailing Address
Mr. PATRICK T LONG
3709 COLLINS WAY
WEIRTON, WV 26062-4401
Phone number: 304-479-3301
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