JORDAN LONG

LEWISBURG, WV
NPI1912754573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-02
Last Update Date2024-05-02
Business Address
JORDAN LONG DO
1464 JEFFERSON ST N
LEWISBURG, WV 24901-1380
Phone number: 304-645-3220
Mailing Address
JORDAN LONG DO
1464 JEFFERSON ST N
LEWISBURG, WV 24901-1380
Phone number: 304-645-3220
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