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Individual
DR. SOK THY BRYANT LONG II
Active
Individual
DR. SOK THY BRYANT LONG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
333785
LA
207R00000X
Internal Medicine Physician
57247659
OH
390200000X
Student in an Organized Health Care Education/Training Program
4351049651
MI
390200000X
Student in an Organized Health Care Education/Training Program
57.247659
OH
Other
Enumeration date
03/29/2019
Last updated
01/23/2024
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