JUSTIN ROBERT LONG

COLUMBUS, OH
NPI1700098407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT002259)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Mr. JUSTIN ROBERT LONG ATC
2050 KENNY RD
COLUMBUS, OH 43221-3502
Phone number: 614-293-3600
Mailing Address
Mr. JUSTIN ROBERT LONG ATC
2773 OAK FOREST DR
GROVE CITY, OH 43123-4737
Phone number:
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