DOUGLAS JESS LONG

NORTH PLATTE, NE
NPI1720121619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
-- DOUGLAS JESS LONG MS ES LAT ATC
1115 S COTTONWOOD ST
NORTH PLATTE, NE 69101-6108
Phone number: 308-696-7456
Mailing Address
-- DOUGLAS JESS LONG MS ES LAT ATC
1115 S COTTONWOOD ST
NORTH PLATTE, NE 69101-6108
Phone number: 308-696-7456
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