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1861503617
ANDRE LONG
PINEVILLE, LA
NPI
1861503617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 961-193T)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. ANDRE LONG OD
3636 MONROE HWY
PINEVILLE, LA 71360-4127
Phone number: 318-640-8803
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Mailing Address
Dr. ANDRE LONG OD
3636 MONROE HWY
PINEVILLE, LA 71360-4127
Phone number: 318-640-8803
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