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1780613091
MARY TEW LONG
NORTHPORT, AL
NPI
1780613091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 061)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Ms. MARY TEW LONG M.A.T., ATC, LAT
1325 MCFARLAND BLVD THE SPORTS AND MEDICINE COMPLEX
NORTHPORT, AL 35476-3270
Phone number: 205-333-4778
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Mailing Address
Ms. MARY TEW LONG M.A.T., ATC, LAT
13717 RANDA PKWY
NORTHPORT, AL 35475-3473
Phone number: 205-330-0998
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