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1861655086
BRAD FORREST LONG
LEWISTON, ME
NPI
1861655086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME EC081104)
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
-- BRAD FORREST LONG MD
76 HIGH ST
LEWISTON, ME 04240-7649
Phone number: 207-795-2800
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Mailing Address
-- BRAD FORREST LONG MD
76 HIGH ST
LEWISTON, ME 04240-7649
Phone number:
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