SUSAN LONG

GALLUP, NM
NPI1326104787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: NM  03-037772-00-2)
Enumeration Date2006-12-29
Last Update Date2007-07-08
Business Address
-- SUSAN LONG
1300 W I-40 FRONTAGE RD STE 322
GALLUP, NM 87301-3323
Phone number: 505-722-3030
Mailing Address
-- SUSAN LONG
1300 W I-40 FRONTAGE RD STE 322
GALLUP, NM 87301-3323
Phone number: 505-722-3030
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