BENJAMIN LONG

BRANDON, MS
NPI1730411398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0487)
Enumeration Date2010-02-08
Last Update Date2010-02-08
Business Address
Mr. BENJAMIN LONG ATC
314 SILTSTONE RDG
BRANDON, MS 39047-6377
Phone number: 601-397-8767
Mailing Address
Mr. BENJAMIN LONG ATC
314 SILTSTONE RDG
BRANDON, MS 39047-6377
Phone number:
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