ANTONIA ROSANNA LONG

INDIANAPOLIS, IN
NPI1811208291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  002164)
Enumeration Date2010-06-30
Last Update Date2010-06-30
Business Address
Ms. ANTONIA ROSANNA LONG MHSC, ATC, CEAS
5949 W RAYMOND ST
INDIANAPOLIS, IN 46241-4348
Phone number: 317-390-5590
Mailing Address
Ms. ANTONIA ROSANNA LONG MHSC, ATC, CEAS
3465 FIRST AVE
GROVE CITY, OH 43123
Phone number: 502-432-0620
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