ROBERT GENE LONG

BELLEVUE, WA
NPI1649283334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: WA  MA00017176)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
Mr. ROBERT GENE LONG LMP
1899 -116TH AVE NE
BELLEVUE, WA 98004
Phone number: 425-451-0404
Mailing Address
Mr. ROBERT GENE LONG LMP
7805 192ND PL SW
EDMONDS, WA 98026-6122
Phone number: 425-778-0976