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1194503862
ROBERT HENRY LONG
DES MOINES, IA
NPI
1194503862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: IA 824YY1420)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
MR. ROBERT HENRY LONG
2200 STANTON AVE APT C36
DES MOINES, IA 50321-2343
Phone number: 515-360-1377
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Mailing Address
MR. ROBERT HENRY LONG
2200 STANTON AVE APT C36
DES MOINES, IA 50321-2343
Phone number: 515-360-1377
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