JACQLYN E LONG

ALTON, IL
NPI1992866057
Other NameJACQLYN E REINERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046-008207)
Additional Taxonomies152W00000X Optometrist
(Licence: MO  T02865)
Enumeration Date2006-12-13
Last Update Date2015-02-20
Business Address
-- JACQLYN E LONG O.D.
211 E BROADWAY
ALTON, IL 62002-6220
Phone number: 618-462-9818
Mailing Address
-- JACQLYN E LONG O.D.
8885 LADUE RD
SAINT LOUIS, MO 63124-2088
Phone number: 314-721-2720