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1861745184
MICHAEL THOMAS LONG
SAN DIEGO, CA
NPI
1861745184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A122497)
Enumeration Date
2012-10-24
Last Update Date
2015-06-11
Business Address
Dr. MICHAEL THOMAS LONG MD
3020 CHILDRENS WAY MC5075
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
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Mailing Address
Dr. MICHAEL THOMAS LONG MD
3020 CHILDRENS WAY MC5075
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8036
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