JEFFREY JAMES LONG

OFFUTT AFB, NE
NPI1710388145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- JEFFREY JAMES LONG PA-S
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-8056
Mailing Address
-- JEFFREY JAMES LONG PA-S
12217 S 28TH AVE
BELLEVUE, NE 68123-1759
Phone number: 803-406-3260
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