JILDA EDEAN LONG

ROANOKE, VA
NPI1568405884
Former NameJILDA EDEAN BARKSDALE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618001106)
Enumeration Date2006-06-14
Last Update Date2019-08-02
Business Address
JILDA EDEAN LONG OD
22 CAMPBELL AVE SE
ROANOKE, VA 24011
Phone number: 540-982-7890
Mailing Address
JILDA EDEAN LONG OD
4251 TWIN MOUNTAIN DR
VINTON, VA 24179-1021
Phone number: 540-875-8036
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