WALTER J LONG

BLOOMINGTON, IN
NPI1497849145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002828B)
Enumeration Date2006-10-03
Last Update Date2007-07-09
Business Address
-- WALTER J LONG O.D
660 S COLLEGE AVE
BLOOMINGTON, IN 47403-2527
Phone number: 812-332-5090
Mailing Address
-- WALTER J LONG O.D
660 S COLLEGE AVE
BLOOMINGTON, IN 47403-2527
Phone number: 812-332-5090
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