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1821004722
JERRY MURREL LONG
SPRINGFIELD, MO
NPI
1821004722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MO 9912)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. JERRY MURREL LONG D.D.S.
1642 E CATALPA ST
SPRINGFIELD, MO 65804-0202
Phone number: 417-827-4399
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Mailing Address
Dr. JERRY MURREL LONG D.D.S.
1642 E CATALPA ST
SPRINGFIELD, MO 65804-0202
Phone number: 417-827-4399
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