BOBBY LONG

FPO, AP
NPI1780020255
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-05-10
Last Update Date2013-05-10
Business Address
-- BOBBY LONG IDC
USS STERRET DDG-104
FPO, AP 96678-1310
Phone number: 208-515-6166
Mailing Address
-- BOBBY LONG IDC
USS STERRET DDG-104
FPO, AP 96678-1310
Phone number:
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