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Individual
MEGAN J LONG
Active
Individual
MEGAN J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A111832
CA
Other
Enumeration date
04/28/2008
Last updated
08/12/2014
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