BENJAMIN C LONG

JOPLIN, MO
NPI1982102885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2018002044)
Enumeration Date2018-01-25
Last Update Date2018-01-25
Business Address
BENJAMIN C LONG
3105 MCCLELLAND BLVD.
JOPLIN, MO 64804
Phone number: 417-347-5400
Mailing Address
BENJAMIN C LONG
3105 MCCLELLAND BLVD.
JOPLIN, MO 64804
Phone number: 417-347-5400
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