Jacqlyn E Long, O.D.

NPI #1992866057 in Alton, Illinois

Provider Information

NPI Number
1992866057
Entity Type
Individual
Name
Jacqlyn E Long, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 13, 2006
Last Updated
Feb 20, 2015

Practice Location

Address
211 E BROADWAY
City
Alton
ZIP Code
62002-6220
Phone
(618) 462-9818

Specialties & Taxonomy Codes

Specialty
Optometrist

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