JACOB RAYMOND LONG

DAYTON, OH
NPI1194513929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-30
Last Update Date2025-06-17
Business Address
JACOB RAYMOND LONG DO
1 WYOMING ST
DAYTON, OH 45409-2722
Phone number: 937-208-3882
Mailing Address
JACOB RAYMOND LONG DO
8028 TRENT LOCK DR
WATERVILLE, OH 43566-9425
Phone number: 419-340-8811
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