Susan Long
NPI #1326104787 in Gallup, New Mexico
Provider Information
- NPI Number
- 1326104787
- Entity Type
- Individual
- Name
- Susan Long
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1300 W I-40 FRONTAGE RD STE 322
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-3323
- Phone
- (505) 722-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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