NICHOLAS LONG

CONWAY, AR
NPI1609285626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR  AT 611)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- NICHOLAS LONG M.Ed, ATC, LAT
1600 WASHINGTON AVE
CONWAY, AR 72032-4115
Phone number: 501-450-5045
Mailing Address
-- NICHOLAS LONG M.Ed, ATC, LAT
1600 WASHINGTON AVE
CONWAY, AR 72032-4115
Phone number: 501-450-5045
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