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1851406243
MATTHEW THOMAS LONG
REDONDO BEACH, CA
NPI
1851406243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA 2OA8553)
Enumeration Date
2006-08-19
Last Update Date
2012-11-05
Business Address
-- MATTHEW THOMAS LONG D.O.
1919 S CATALINA AVE
REDONDO BEACH, CA 90277-5515
Phone number: 310-378-7246
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Mailing Address
-- MATTHEW THOMAS LONG D.O.
718 N GUADALUPE AVE APT 1
REDONDO BEACH, CA 90277-2260
Phone number: 310-936-1856
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