Susan Long
Susan Long is an Optician in Gallup, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2006
Practice location Address checks out
1300 W I-40 Frontage Rd Ste 322Gallup, NM 87301-3323
Phone: (505) 722-3030
Fax: (505) 722-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 03-037772-00-2 (NM) |
|---|
Record details
| NPI number | 1326104787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1300 W I-40 Frontage Rd Ste 322, Gallup, NM 87301-3323 |
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