JACOB DANIEL LONG

GREENWOOD, MS
NPI1710329156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MS  887)
Enumeration Date2013-07-26
Last Update Date2013-07-26
Business Address
DR. JACOB DANIEL LONG O.D.
2202 HWY 82 WEST
GREENWOOD, MS 38930-2706
Phone number: 662-609-6402
Mailing Address
DR. JACOB DANIEL LONG O.D.
110 ACORN LN
BATESVILLE, MS 38606-2359
Phone number: 662-609-6402
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