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1962702175
DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION
GRETNA, LA
NPI
1962702175
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Entity Type
Organization
Authorized Contact
DANIEL A LONG
President
504-391-7560
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION
120 MEADOWCREST ST #330
GRETNA, LA 70056-5255
Phone number: 504-391-7560
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Mailing Address
DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION
120 MEADOWCREST ST #330
GRETNA, LA 70056-5255
Phone number: 504-391-7560
Copy
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