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Individual

DR. ANATOLE M LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
55 S 300 W, SUITE 3, HURRICANE, UT 84737
(435) 635-3828
Mailing address
55 S 300 W, SUITE 3, HURRICANE, UT 84737
(435) 635-3828

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176397-1202
UT

Other

Enumeration date
06/08/2006
Last updated
07/08/2007
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