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Johnny Long

NPI 1609386721 · on the registry since 2017 · sole proprietor

Practice

Address
102 Corral Rd
Ruidoso Downs, NM 88346
Phone
(575) 973-1417

Registry record

Primary taxonomy
347C00000X
347C00000X
Sex
Male
Record last updated
2017-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico