Individual
DEBORAH LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 SHELDON ST, CRESTON, IA 50801-3322
(641) 782-8417
Mailing address
600 SHELDON AVE, CRESTON, IA 50801
(641) 782-8417
(641) 782-6858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16590
IA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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