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DR. GREG S LONG DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1629027107

Individual Registrant:
DR. GREG S LONG DC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
102 N. MAIN  VIBORG, SD 57070-0203 US
Tel: 605-766-2225  Fax: 605-766-3305

Contact information for business:
102 N. MAIN  VIBORG, SD 57070-0203 US
Tel: 605-766-2225  Fax: 605-766-3305

Registration Information:
NPI: 1629027107
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
SD900
N111N00000XChiropractic Providers
Chiropractor
IA06316

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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