CHARLES LONG

ALEXANDRIA, MN
NPI1679183727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2020-08-04
Last Update Date2020-08-04
Business Address
CHARLES LONG
512 30TH AVE E STE 100
ALEXANDRIA, MN 56308-5096
Phone number: 218-287-4338
Mailing Address
CHARLES LONG
891 BELSLY BLVD
MOORHEAD, MN 56560-5055
Phone number: