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Individual

DR. LESLIE B. LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 FLOSSIE DR, GREENDALE, IN 47025-8424
(812) 539-2313
(812) 539-2339
Mailing address
1600 FLOSSIE DR, GREENDALE, IN 47025-8424
(812) 539-2313
(812) 539-2339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31689
KY

Other

Enumeration date
07/03/2006
Last updated
07/16/2007
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