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1639588965
STEPHANIE C. LONG
SAINT LOUIS, MO
NPI
1639588965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2014028346)
Enumeration Date
2014-08-12
Last Update Date
2022-08-17
Business Address
STEPHANIE C. LONG OD
2185 S MASON RD
SAINT LOUIS, MO 63131-1640
Phone number: 314-821-5666
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Mailing Address
STEPHANIE C. LONG OD
PO BOX 207158
DALLAS, TX 75320-7158
Phone number: 636-200-4393
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