Individual
CLAIRE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 STADIUM DR, BOWLING GREEN, OH 43403-9784
(419) 372-7087
Mailing address
21345 COUNTY ROAD 120, KENTON, OH 43326-9784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005041
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2015
Last updated
03/21/2018
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