JERRY WAYNE LONG

POPLAR BLUFF, MO
NPI1144295197
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MO  T02229)
Enumeration Date2006-02-22
Last Update Date2014-07-03
Business Address
Dr. JERRY WAYNE LONG O.D
213 N BROADWAY ST
POPLAR BLUFF, MO 63901-5135
Phone number: 573-785-8476
Mailing Address
Dr. JERRY WAYNE LONG O.D
213 N BROADWAY ST
POPLAR BLUFF, MO 63901-5135
Phone number: 573-785-8476
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