STACEY MICHELLE LONG

SENECA, SC
NPI1457320533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: SC  15687)
Enumeration Date2006-03-14
Last Update Date2007-10-23
Business Address
Miss STACEY MICHELLE LONG
15891 WELLS HWY
SENECA, SC 29678-1078
Phone number: 864-888-0405
Mailing Address
Miss STACEY MICHELLE LONG
15891 WELLS HWY
SENECA, SC 29678-1078
Phone number: 864-888-0405
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