NICHOLAS LONG

ANDERSON, IN
NPI1629512645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002175A)
Enumeration Date2016-12-09
Last Update Date2023-11-09
Business Address
NICHOLAS LONG PA-C
2610 ENTERPRISE DR
ANDERSON, IN 46013-9684
Phone number: 765-683-4400
Mailing Address
NICHOLAS LONG PA-C
3600 W BETHEL AVE
MUNCIE, IN 47304-5407
Phone number:
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