ANGELA LONG

BEDFORD, IN
NPI1801859657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002841B)
Enumeration Date2006-04-11
Last Update Date2007-07-08
Business Address
-- ANGELA LONG O.D.
2617 W 16TH STREET
BEDFORD, IN 47421
Phone number: 812-279-3701
Mailing Address
-- ANGELA LONG O.D.
2617 W 16TH STREET
BEDFORD, IN 47421
Phone number: 812-279-3701