MICHAEL LEE LONGENECKER

PARKER, AZ
NPI1265587729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2471S1302X Radiologic Technologist, Sonography
(Licence:   36777)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- MICHAEL LEE LONGENECKER
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-3380
Mailing Address
-- MICHAEL LEE LONGENECKER
833 W MEADE LN
FLAGSTAFF, AZ 86001-1210
Phone number:
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